Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 11980 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | NP11980 | CA |
N | 363LC1500X | Nurse Practitioner - Community Health | 11980 | CA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 11980 | CA |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 11980 | CA |
NPI | 1578527842 |
---|---|
Provider Name | Dr. Yvonne Carlisa Cobbs |
First Address | Pinole, CA 94564-2473 |
Second Address | Pinole, CA 94564-2346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 12/02/2021 |