SearchIdaho363LF0000X

Cody Harris, CNP

NPI 1992081467 · on the registry since 2011

Practice

Address
1522 17th St
Lewiston, ID 83501
Phone
(208) 743-8416
Fax
(208) 743-4642
Organisation at this address
Vannvei Llc
Clearwater Medical Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
SD, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho