Provider Demographics
NPI:1841956604
Name:COBARRAS, ABIGAIL YOUNG (APRN)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:YOUNG
Last Name:COBARRAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6633 WATERTON DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-1311
Mailing Address - Country:US
Mailing Address - Phone:813-442-9312
Mailing Address - Fax:
Practice Address - Street 1:6633 WATERTON DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-1311
Practice Address - Country:US
Practice Address - Phone:813-442-9312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily