Provider Demographics
NPI:1528160454
Name:COBEY, PAMELA MARIE (RNPC, RNNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:MARIE
Last Name:COBEY
Suffix:
Gender:F
Credentials:RNPC, RNNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CHESHIRE ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2223
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42 WASHINGTON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-1803
Practice Address - Country:US
Practice Address - Phone:781-235-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA208981364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA494279OtherINDIVIDUAL TUFTS PROVIDER
MAPN0850OtherINDIVIDUAL BC/BS PROVIDER
MA81515800OtherINDIVIDUAL MAGELLAN PROVI
MA81515800OtherINDIVIDUAL MAGELLAN PROVI