Healthcare Provider Details

I. General information

NPI: 1326822628
Provider Name (Legal Business Name): MONIKA KAMINSKA-RYMER RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SENECA RD.
PLAINVILLE CT
06062
US

IV. Provider business mailing address

6 SENECA RD.
PLAINVILLE CT
06062
US

V. Phone/Fax

Practice location:
  • Phone: 860-463-5494
  • Fax:
Mailing address:
  • Phone: 860-463-5494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number10.143409
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: