Individual
CODY CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
86 ASHLEY AVE, WEST SPRINGFIELD, MA 01089-1302
(413) 693-2852
Mailing address
20 RIVERBANK RD, NORTHAMPTON, MA 01060-2506
(413) 387-9727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2343882
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2343882
MA
Other
Enumeration date
05/01/2024
Last updated
08/21/2024
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