Doctor Name: | CONNIE HAYS CODDINGTON |
NPI Number: | 1003105156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1165 Club Cir Suite Number 307n Brookfield, WI - 530056981 |
Business Phone Number: | 2627856789 |
Business Fax Number: | |
Mailing Address: | 1165 Club Cir, Suite Number 307n BROOKFIELD |
State: | WI |
Postal Code: | 530056981 |
Phone Number: | 2627856789 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2011 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Religious Nonmedical Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |