Provider Demographics
NPI:1255014437
Name:SULLIVAN, ADRIAN YEVETTE-TORBERT
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:YEVETTE-TORBERT
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1863 HEWITT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-1828
Mailing Address - Country:US
Mailing Address - Phone:513-348-8970
Mailing Address - Fax:
Practice Address - Street 1:1863 HEWITT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1828
Practice Address - Country:US
Practice Address - Phone:513-348-8970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care