Provider Demographics
NPI:1629497011
Name:COBLE, TRAM-ANH (RN)
Entity Type:Individual
Prefix:MRS
First Name:TRAM-ANH
Middle Name:
Last Name:COBLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ANH
Other - Middle Name:TRAM-BA
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8141 WELLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-8740
Mailing Address - Country:US
Mailing Address - Phone:515-505-9300
Mailing Address - Fax:
Practice Address - Street 1:4949 PLEASANT ST STE 201
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5494
Practice Address - Country:US
Practice Address - Phone:515-224-4490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN158977163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse