MEDICARE: CARRIE POHLMAN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	COA.18127-NP	OH

General Provider Information

NPI Number	:	1689047078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE POHLMAN FNP

Provider Business Mailing Address
First Line	:	5532 SCHLADE CT
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-9037
Country	:	US
Telephone Number	:	513-779-5123
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 OVERBROOK DR STE 100W
Second Line	:
City	:	MONROE
State	:	OH
Zip	:	45050-1199
Country	:	US
Telephone Number	:	513-539-7356
Fax Number	:	513-539-7782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2015
Last Update Date	:	02/19/2026

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