Provider Demographics
NPI:1568166007
Name:COBB, ANA ABIGAIL (BS)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:ABIGAIL
Last Name:COBB
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:858 E BROADWAY APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-5692
Mailing Address - Country:US
Mailing Address - Phone:606-416-9010
Mailing Address - Fax:
Practice Address - Street 1:325 STRAWBERRY CT
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-5055
Practice Address - Country:US
Practice Address - Phone:606-416-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program