Individual
DEBORAH A COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8408
WI
367500000X
Certified Registered Nurse Anesthetist
R1378524
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215810800
—
MN
05
—
44318300
—
WI
Enumeration date
09/21/2006
Last updated
07/25/2024
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