IndividualActive
Abbey Coburn, PA-C
NPI 1164020830 · Physician Assistant · Ogden, UT
Provider details
- NPI number
- 1164020830
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 11819270-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6028 S Ridgeline Dr Ste 200
Ogden, UT 84405-6906
Phone: (801) 917-8500
Approximate (ZIP-level) locationGet directions
Mailing address
6028 S Ridgeline Dr Ste 200
Ogden, UT 84405-6906
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.