MEDICARE: MS. MONICA MONIQUE BROWN APRN

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	163W00000X	Registered Nurse	337622	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.024332	OH

General Provider Information

NPI Number	:	1710470893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONICA MONIQUE BROWN APRN

Provider Business Mailing Address
First Line	:	421 DEANVIEW DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1415
Country	:	US
Telephone Number	:	513-349-1185
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 W CORRY ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1901
Country	:	US
Telephone Number	:	513-872-1530
Fax Number	:	513-872-1531

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

Provider Enumeration Date	:	06/12/2018
Last Update Date	:	04/25/2025

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