Provider Demographics
NPI:1275887507
Name:COBB, CHRISTOPHER BRENNAN (RN)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BRENNAN
Last Name:COBB
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1997 SINCLAIR TRCE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9445
Mailing Address - Country:US
Mailing Address - Phone:336-514-5342
Mailing Address - Fax:
Practice Address - Street 1:1997 SINCLAIR TRCE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9445
Practice Address - Country:US
Practice Address - Phone:336-514-5342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC238485163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency