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Individual
ANGELA H COBB
Active
Individual
ANGELA H COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-112833
AL
363L00000X
Nurse Practitioner
Primary
3211
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122640
—
AL
05
—
122641
—
AL
01
—
1487960373
TRICARE SOUTH
AL
01
—
511-10209
BCBS
AL
01
—
511-10210
BCBS
AL
01
—
Z12061
VIVA HEALTH
AL
Enumeration date
08/30/2010
Last updated
01/10/2013
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