Healthcare Provider Details

I. General information

NPI: 1407356801
Provider Name (Legal Business Name): MONICA KOMMEL MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA MIMS

II. Dates (important events)

Enumeration Date: 02/13/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 VANDERCAR WAY
CINCINNATI OH
45209-7542
US

IV. Provider business mailing address

3075 VANDERCAR WAY
CINCINNATI OH
45209-7542
US

V. Phone/Fax

Practice location:
  • Phone: 844-326-3119
  • Fax:
Mailing address:
  • Phone: 844-326-3119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.022233
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: