Healthcare Provider Details

I. General information

NPI: 1376705467
Provider Name (Legal Business Name): ADELE E CORBIN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 06/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 PIEDMONT AVE
CINCINNATI OH
45219-4231
US

IV. Provider business mailing address

222 PIEDMONT AVE
CINCINNATI OH
45219-4231
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-7400
  • Fax: 513-475-7414
Mailing address:
  • Phone: 513-475-7400
  • Fax: 513-475-7414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN133559-COA1
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA08644NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: