Healthcare Provider Details

I. General information

NPI: 1033356241
Provider Name (Legal Business Name): JULIE MICHELLE TREADWAY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2009
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S 2ND ST
HAMILTON OH
45011-2811
US

IV. Provider business mailing address

300 HIGH ST FL 4
HAMILTON OH
45011-6078
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-1111
  • Fax:
Mailing address:
  • Phone: 513-454-1460
  • Fax: 513-454-1484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-10427
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: