Individual
CODY NICHOLAS HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
290 N WAYTE LN # 2400, FRESNO, CA 93701-2124
(559) 459-6168
Mailing address
3240 FINCHWOOD AVE, CLOVIS, CA 93619-8933
(559) 589-5064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006750
CA
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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