Provider Demographics
NPI:1922405711
Name:MORELAND, JULIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MORELAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4803 MONTGOMERY RD
Mailing Address - Street 2:STE 114
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1153
Mailing Address - Country:US
Mailing Address - Phone:513-528-8150
Mailing Address - Fax:513-528-8167
Practice Address - Street 1:4803 MONTGOMERY RD STE 114
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-1153
Practice Address - Country:US
Practice Address - Phone:513-631-3300
Practice Address - Fax:513-631-9852
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16821-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily