Healthcare Provider Details

I. General information

NPI: 1518293778
Provider Name (Legal Business Name): CATRICE LYNETTE COLEMAN RN, MSN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2634 W NORTH BEND RD
CINCINNATI OH
45239-7306
US

IV. Provider business mailing address

2634 W NORTH BEND RD
CINCINNATI OH
45239-7306
US

V. Phone/Fax

Practice location:
  • Phone: 513-739-7277
  • Fax:
Mailing address:
  • Phone: 513-739-7277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0043345
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG194047
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4063181
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number426136
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number124934
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: