Individual
CODY W SELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 GW LN, WAYNESVILLE, MO 65583-2339
(573) 842-4116
(573) 433-2008
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018024334
MO
Other
Enumeration date
06/18/2018
Last updated
05/29/2026
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