Provider Demographics
NPI:1932390788
Name:ADJEI, GLORIA (MSN, PMHNP-BC, APRN)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:
Last Name:ADJEI
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC, APRN
Other - Prefix:MISS
Other - First Name:GLORIA
Other - Middle Name:
Other - Last Name:HANSON-METTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:425 HOME ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-1407
Mailing Address - Country:US
Mailing Address - Phone:513-205-8381
Mailing Address - Fax:
Practice Address - Street 1:425 HOME ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1407
Practice Address - Country:US
Practice Address - Phone:937-483-4933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030000363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health