Healthcare Provider Details

I. General information

NPI: 1033496492
Provider Name (Legal Business Name): DORCAS A AMUNGA-MIREE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2011
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 CINCINNATI ST STE 200
DAYTON OH
45417-4614
US

IV. Provider business mailing address

1435 CINCINNATI ST STE 200
DAYTON OH
45417-4614
US

V. Phone/Fax

Practice location:
  • Phone: 937-739-3000
  • Fax: 937-739-3333
Mailing address:
  • Phone: 937-739-3000
  • Fax: 937-739-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP..16520
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: