Harris, Cody Bryan

Harris, Cody Bryan is an individual health care provider with primary practice located at 1522 17Th St , Lewiston ID 83501-3652. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Harris, Cody Bryan can be contacted via phone (208) 743-8416.

Contact Information

Primary practice address
1522 17Th St Lewiston ID 83501-3652
Phone: (208) 743-8416
Fax: (208) 743-4642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000676 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP1527A Idaho

Profile Details

NPI number 1992081467
LBN Legal business name Harris, Cody Bryan
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2011
Last updated Aug 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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