MEDICARE: AMY MURAN

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	175T00000X	Peer Specialist	APS.004920	OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.191817	OH
3	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1467251561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MURAN

Provider Business Mailing Address
First Line	:	4241 WOODCLIFFE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-2852
Country	:	US
Telephone Number	:	937-723-1045
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 XENIA AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-1824
Country	:	US
Telephone Number	:	937-949-1524
Fax Number	:

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

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	04/11/2026

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Directions to “ AMY MURAN ” Practice Location

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