MEDICARE: MRS. DORCAS A AMUNGA-MIREE APRN

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	363LF0000X	Family Nurse Practitioner	APRN.CNP..16520	OH

General Provider Information

NPI Number	:	1033496492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DORCAS A AMUNGA-MIREE APRN

Provider Business Mailing Address
First Line	:	1435 CINCINNATI ST STE 200
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-4614
Country	:	US
Telephone Number	:	937-739-3000
Fax Number	:	937-739-3333

Provider Business Practice Location Address
First Line	:	1435 CINCINNATI ST STE 200
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-4614
Country	:	US
Telephone Number	:	937-739-3000
Fax Number	:	937-739-3333

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

Provider Enumeration Date	:	11/12/2011
Last Update Date	:	04/23/2026

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