Healthcare Provider Details

I. General information

NPI: 1861700346
Provider Name (Legal Business Name): MINDY GAIL KOHSMAN RNC MS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2010
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5064 S OLD 3C HWY
WESTERVILLE OH
43082-9249
US

IV. Provider business mailing address

5618 HARROW GLEN CT
GALENA OH
43021-9069
US

V. Phone/Fax

Practice location:
  • Phone: 740-200-0892
  • Fax: 614-522-1020
Mailing address:
  • Phone: 614-353-8682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN301895
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN301895
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: