Samuel Dominic Kobba, N.P. Valid NPI

Individual provider · Family Nurse Practitioner · Elkhart, IN

NPI

1811211154

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

71000742A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2010-03-16

Last updated

2023-11-03