Provider Demographics
NPI:1811785082
Name:COBY, HOLLY (CD (DONA))
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:COBY
Suffix:
Gender:
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 ASHWORTH DR
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-9503
Mailing Address - Country:US
Mailing Address - Phone:937-572-5972
Mailing Address - Fax:
Practice Address - Street 1:1534 ASHWORTH DR
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-9503
Practice Address - Country:US
Practice Address - Phone:937-572-5972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty