Provider Demographics
NPI:1780564773
Name:MABREY, MICHAELA (CNA)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:MABREY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3272 ROCKER DRIVE 7
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239
Mailing Address - Country:US
Mailing Address - Phone:513-617-0810
Mailing Address - Fax:
Practice Address - Street 1:3272 ROCKER DR APT 7
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4147
Practice Address - Country:US
Practice Address - Phone:513-617-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602647050623172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker