Azonda Cobbs, LPN
Individual provider Active NPI Licensed Practical Nurse · Seaford, DE
NPI 1609529403 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1609529403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L2-0011842 (DE)
- Practice address
- 105 N Front St
Seaford, DE 19973-2707 - Phone
- (302) 536-1952
- Fax
- (302) 536-7746
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2-0011842 | DE | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L2-0011842 | DE | Yes |
Addresses
Primary practice location
105 N Front St
Seaford, DE 19973-2707
Mailing address
590 Naamans Rd
Claymont, DE 19703-2308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L2-0011842 | Medicaid | DE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | acobbs@coraswellness.org |
Other providers in Seaford, DE
- Civic Health Services 2 LLC
- Richelle L Clark
- Ashleley M Class
- CLH Health Services
- CLH Health Services
- David Cohen
- Sherid Collie
- Alfred Collins II
- Lauren Abbie Collins
- Compass Mental Wellness Services, Inc
All providers in Seaford, DE · Licensed Practical Nurse in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.