Provider Demographics
NPI:1497724363
Name:KOBAL, NADIA ANN (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:ANN
Last Name:KOBAL
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:MRS
Other - First Name:NADIA
Other - Middle Name:ANN
Other - Last Name:KOBAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPNP
Mailing Address - Street 1:375 TIMBERIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:GATES MILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44040-9319
Mailing Address - Country:US
Mailing Address - Phone:440-477-1489
Mailing Address - Fax:
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9237443363LP0200X
OHCOA.08295-NP363LP0200X
OHAPRN.08295363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics