IndividualActive
Cody Werven, IDC
NPI 1902350085 · Independent Duty Medical Technicians · Groton, CT
Provider details
- NPI number
- 1902350085
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
150 Lestertown Rd
Groton, CT 06340-2817
Phone: (847) 271-7404
Approximate (ZIP-level) locationGet directions
Mailing address
150 Lestertown Rd
Groton, CT 06340-2817
Registry dates
- Enumerated
- 2016-08-06
- Last updated
- 2016-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.