MEDICARE: JULIA ANN MENETREY CNP

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	APRN.CNP.11228	OH
2	363L00000X	Nurse Practitioner	11228	OH
3	363L00000X	Nurse Practitioner	71011606A	IN
4	363L00000X	Nurse Practitioner	3006243	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00922872	OTHER	KY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	611300608061	OTHER	OH	CARESOURCE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518295435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANN MENETREY CNP

Provider Business Mailing Address
First Line	:	4760 E GALBRAITH RD
Second Line	:	STE. 205
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6703
Country	:	US
Telephone Number	:	513-985-0741
Fax Number	:	513-985-0784

Provider Business Practice Location Address
First Line	:	4760 E GALBRAITH RD
Second Line	:	STE. 205
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6703
Country	:	US
Telephone Number	:	513-985-0741
Fax Number	:	513-985-0784

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

Provider Enumeration Date	:	12/04/2009
Last Update Date	:	12/18/2025

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Directions to “ JULIA ANN MENETREY CNP” Practice Location

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