Healthcare Provider Details

I. General information

NPI: 1255606372
Provider Name (Legal Business Name): VEVE COBBS MIDWIFE CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2012
Last Update Date: 03/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W3148 BUFFALO HILLS RD
PARDEEVILLE WI
53954-9643
US

IV. Provider business mailing address

W3148 BUFFALO HILLS RD
PARDEEVILLE WI
53954-9643
US

V. Phone/Fax

Practice location:
  • Phone: 608-429-1244
  • Fax:
Mailing address:
  • Phone: 608-429-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: