Individual
CODY REIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
1620 COUNTY ROAD 21, BRIGHTON, CO 80603-9203
(303) 748-0634
Mailing address
1620 COUNTY ROAD 21, BRIGHTON, CO 80603-9203
(303) 748-0634
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1636760
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0998320-CRNA
CO
Other
Enumeration date
11/16/2022
Last updated
01/08/2023
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