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NPI Code Detail

MEDICARE: KRISTINA L COBB RN

MEDICARE:   KRISTINA L COBB  RN
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
1163W00000XRegistered Nurse131290IA

General Provider Information

NPI Number : 1427785831
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA L COBB RN
Provider Business Mailing Address
First Line : 1460 GREYSON LN
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-8101
Country : US
Telephone Number : 319-850-0182
Fax Number :
Provider Business Practice Location Address
First Line : 1460 GREYSON LN
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-8101
Country : US
Telephone Number : 319-850-0182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/04/2022

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Directions to “ KRISTINA L COBB RN” Practice Location

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