Cody Ericson, NP Valid NPI
Individual provider · Family Nurse Practitioner · Visalia, CA
- NPI
- 1972169340
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 95009597 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-05-11
- Last updated
- 2019-06-11
Practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
(559) 624-5339