MEDICARE: MRS. DANA MARIE UKIRI FNP

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	207Q00000X	Family Medicine Physician	A190763	IA

General Provider Information

NPI Number	:	1548104102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA MARIE UKIRI FNP

Provider Business Mailing Address
First Line	:	305 2ND ST SE STE 350
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-1713
Country	:	US
Telephone Number	:	515-864-9696
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 2ND ST SE STE 350
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-1713
Country	:	US
Telephone Number	:	515-864-9696
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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