Doctor Name: | CHRISTINA COBB |
NPI Number: | 1215304043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C CRNP |
License Number: | SP015219 |
Business Practice Address: | 86 Kewanee Ln Factoryville, PA - 184199583 |
Business Phone Number: | 5709055494 |
Business Fax Number: | |
Mailing Address: | 700 E Broad St, HAZLETON |
State: | PA |
Postal Code: | 182016835 |
Phone Number: | 5705014000 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |