Healthcare Provider Details

I. General information

NPI: 1609686575
Provider Name (Legal Business Name): ANNA COBLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HIDE A WAY
CLINTON CT
06413-1331
US

IV. Provider business mailing address

9 HIDE A WAY
CLINTON CT
06413-1331
US

V. Phone/Fax

Practice location:
  • Phone: 802-881-7060
  • Fax:
Mailing address:
  • Phone: 802-881-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: