Individual
CODY E BILDERBACK
Active
Individual
CODY E BILDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013012822
MO
363LF0000X
Family Nurse Practitioner
Primary
209010451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013012822
MO LICENSE
MO
Enumeration date
06/10/2013
Last updated
05/09/2023
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