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NPI Code Detail

MEDICARE: CARLA RENEE COBB

MEDICARE: CARLA RENEE COBB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerRN60991459WA

General Provider Information

NPI Number : 1962348946
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA RENEE COBB
Provider Business Mailing Address
First Line : 12833 NEWCASTLE WAY UNIT 607
Second Line :
City : NEWCASTLE
State : WA
Zip : 98056-1599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 307 TRENT DR
Second Line :
City : DURHAM
State : NC
Zip : 27710-3038
Country : US
Telephone Number : 919-684-4248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ CARLA RENEE COBB ” Practice Location

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