Provider Demographics
NPI:1669623385
Name:BOBISH, CARA ALEXIS (RN)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:ALEXIS
Last Name:BOBISH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 KEARSARGE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1558
Mailing Address - Country:US
Mailing Address - Phone:724-601-4541
Mailing Address - Fax:
Practice Address - Street 1:106 ISABELLA ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5841
Practice Address - Country:US
Practice Address - Phone:412-995-3166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA581988163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse