Healthcare Provider Details

I. General information

NPI: 1407789258
Provider Name (Legal Business Name): NICOLE BRINKMEYER AGASNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7870 E KEMPER RD
CINCINNATI OH
45249-1675
US

IV. Provider business mailing address

1634 WHITEWATER TRAILS BLVD
HARRISON OH
45030-2238
US

V. Phone/Fax

Practice location:
  • Phone: 513-699-9090
  • Fax:
Mailing address:
  • Phone: 812-290-1284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4056180
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: