Individual
MRS. CODY MONCUR NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
720 LINDSAY LN, SUITE A, CODY, WY 82414-4103
(307) 578-1800
Mailing address
PO BOX 753, RALSTON, WY 82440-0753
(307) 754-8108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2177707-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
22181.1080
WY
Other
Enumeration date
07/11/2008
Last updated
01/26/2016
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