Provider Demographics
NPI:1588252639
Name:MAPP, ADRIANA T (QMHS BA)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:T
Last Name:MAPP
Suffix:
Gender:F
Credentials:QMHS BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4510 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-1839
Mailing Address - Country:US
Mailing Address - Phone:859-279-7715
Mailing Address - Fax:
Practice Address - Street 1:4510 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41015-1839
Practice Address - Country:US
Practice Address - Phone:859-279-7715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2022-11-29
Deactivation Date:2022-10-19
Deactivation Code:
Reactivation Date:2022-11-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care