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 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-8641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.08295-NP363LP0200X
OHAPRN.08295363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics