Provider Demographics
NPI:1104846153
Name:COBB, LOUISE M (CNM)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:M
Last Name:COBB
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:2211 LOMAS BLVD NE
Mailing Address - Street 2:MATERNITY AND FAMILY PLANNING
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2745
Mailing Address - Country:US
Mailing Address - Phone:505-272-2111
Mailing Address - Fax:505-272-8053
Practice Address - Street 1:2211 LOMAS BLVD NE
Practice Address - Street 2:MATERNITY AND FAMILY PLANNING
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2745
Practice Address - Country:US
Practice Address - Phone:505-272-2111
Practice Address - Fax:505-272-8053
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2013-01-23
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Provider Licenses
StateLicense IDTaxonomies
NM646367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
COQ05488Medicare UPIN
CO07108772Medicare ID - Type Unspecified
CO801479Medicare ID - Type Unspecified