Individual
ANGELA H COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-2646
Mailing address
PO BOX 10583, BIRMINGHAM, AL 35202-0583
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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