Provider Demographics
NPI:1194025429
Name:MOSBY, MILLICENT ADZO (RN)
Entity type:Individual
Prefix:MS
First Name:MILLICENT
Middle Name:ADZO
Last Name:MOSBY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:MILLICENT
Other - Middle Name:
Other - Last Name:MOSBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2864 PEARSE ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-3510
Mailing Address - Country:US
Mailing Address - Phone:614-806-4132
Mailing Address - Fax:
Practice Address - Street 1:2864 PEARSE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-3510
Practice Address - Country:US
Practice Address - Phone:614-806-4132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH522501163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
512913OtherRN