Healthcare Provider Details

I. General information

NPI: 1013159474
Provider Name (Legal Business Name): NAOMI VAN HORN R.N., C.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NAOMI KOSSEL

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE. ML 2015
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE. ML 2015
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4222
  • Fax: 513-636-1888
Mailing address:
  • Phone: 513-636-4222
  • Fax: 513-636-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.10604
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: