MR. Cody Ericson, NP
NPI #1972169340 in Visalia, California
Provider Information
- NPI Number
- 1972169340
- Entity Type
- Individual
- Name
- MR. Cody Ericson, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- May 11, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 400 W MINERAL KING AVE
- City
- Visalia
- State
- California
- ZIP Code
- 93291-6237
- Phone
- (559) 624-5339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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