Individual
AMY COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
8776 CHRISTIE DR, LARGO, FL 33771-6405
(727) 709-0376
Mailing address
8776 CHRISTIE DR, LARGO, FL 33771-6405
(727) 709-0376
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9169241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9169241
FL ARNP LICENSE
FL
01
—
RN9169241
FL RN LICENSE
FL
Enumeration date
08/23/2018
Last updated
08/19/2019
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