Provider Demographics
NPI:1275011025
Name:COBB, ANNA LINDSAY (FNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LINDSAY
Last Name:COBB
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 CITIZENS PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5756
Mailing Address - Country:US
Mailing Address - Phone:361-582-7949
Mailing Address - Fax:361-582-7945
Practice Address - Street 1:2700 CITIZENS PLZ STE 200
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5756
Practice Address - Country:US
Practice Address - Phone:361-582-7949
Practice Address - Fax:361-582-7945
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily