Provider Demographics
NPI:1033496492
Name:AMUNGA-MIREE, DORCAS A (NP)
Entity Type:Individual
Prefix:MRS
First Name:DORCAS
Middle Name:A
Last Name:AMUNGA-MIREE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1476 BILOXI DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2449
Mailing Address - Country:US
Mailing Address - Phone:513-729-0267
Mailing Address - Fax:
Practice Address - Street 1:1476 BILOXI DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2449
Practice Address - Country:US
Practice Address - Phone:513-729-0267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-12
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH322459163WC0400X
OHNP-16520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management