MEDICARE: DR. CIARA MONIQUE MERRIWEATHER DNP, FNP-C, PMHNP-BC

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	3012188	KY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	021868	OH
3	163W00000X	Registered Nurse	370905	OH
4	363LF0000X	Family Nurse Practitioner	021868	OH
5	163W00000X	Registered Nurse	1157320	KY

General Provider Information

NPI Number	:	1487084406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CIARA MONIQUE MERRIWEATHER DNP, FNP-C, PMHNP-BC

Provider Business Mailing Address
First Line	:	3152 OXFORD TRENTON RD
Second Line	:
City	:	OXFORD
State	:	OH
Zip	:	45056-9366
Country	:	US
Telephone Number	:	513-675-7203
Fax Number	:

Provider Business Practice Location Address
First Line	:	8465 COLERAIN AVE # 1072
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-3926
Country	:	US
Telephone Number	:	513-676-0059
Fax Number	:

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

Provider Enumeration Date	:	11/13/2013
Last Update Date	:	02/04/2026

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