MEDICARE: JULIA MORELAND FNP-C

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	16821-NP	OH

General Provider Information

NPI Number	:	1922405711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA MORELAND FNP-C

Provider Business Mailing Address
First Line	:	4803 MONTGOMERY RD
Second Line	:	STE 114
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1153
Country	:	US
Telephone Number	:	513-528-8150
Fax Number	:	513-528-8167

Provider Business Practice Location Address
First Line	:	4803 MONTGOMERY RD STE 114
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1153
Country	:	US
Telephone Number	:	513-631-3300
Fax Number	:	513-631-9852

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

Provider Enumeration Date	:	11/24/2014
Last Update Date	:	10/10/2018

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