Individual
JANE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 E 20TH ST, FARMINGTON, NM 87401-9022
(505) 327-0451
Mailing address
46 SUTTLE ST, DURANGO, CO 81303-7947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0160597
CO
363LF0000X
Family Nurse Practitioner
842697
NV
363LF0000X
Family Nurse Practitioner
APRNCNP55031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47727756
—
NM
05
—
91780095
—
CO
Enumeration date
03/12/2014
Last updated
07/19/2022
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