Provider Demographics
NPI:1548834526
Name:COBBLER, ANNMARIE LOUISE
Entity type:Individual
Prefix:MISS
First Name:ANNMARIE
Middle Name:LOUISE
Last Name:COBBLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 STOCKTON LN
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1449
Mailing Address - Country:US
Mailing Address - Phone:202-891-1744
Mailing Address - Fax:
Practice Address - Street 1:1911 T ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4636
Practice Address - Country:US
Practice Address - Phone:202-360-5506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health