Individual
JULIA ANNE MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
(503) 668-5246
Mailing address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
728662
TX
363L00000X
Nurse Practitioner
728662
TX
363LF0000X
Family Nurse Practitioner
Primary
202112819NP-PP
OR
363LF0000X
Family Nurse Practitioner
66968
ID
363LF0000X
Family Nurse Practitioner
728662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497027569
UNITED HEALTH CARE
TX
01
—
868N80
BCBSTX
TX
Enumeration date
02/03/2012
Last updated
06/20/2024
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