Provider Demographics
NPI:1487084406
Name:MERRIWEATHER, CIARA MONIQUE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:MONIQUE
Last Name:MERRIWEATHER
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:CIARA
Other - Middle Name:MONIQUE
Other - Last Name:WALLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5151 MORNING SUN RD STE B
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-9546
Mailing Address - Country:US
Mailing Address - Phone:513-524-5522
Mailing Address - Fax:
Practice Address - Street 1:5151 MORNING SUN RD STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-9546
Practice Address - Country:US
Practice Address - Phone:513-524-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1157320163W00000X
OH370905163W00000X
KY3012188363LF0000X
OH021868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse