Healthcare Provider Details

I. General information

NPI: 1124842869
Provider Name (Legal Business Name): MRS. ADRIANA ADELE BAHNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7265 KENWOOD RD SUITE 230
CINCINNATI OH
45236
US

IV. Provider business mailing address

999 WAREHAM DR APT 175
CINCINNATI OH
45202-2873
US

V. Phone/Fax

Practice location:
  • Phone: 513-882-7006
  • Fax:
Mailing address:
  • Phone: 513-917-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041335
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: