Individual
ELISE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
2033 PALOMAS DR NE, ALBUQUERQUE, NM 87110-5116
(630) 303-8163
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
1668432
CO
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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