Provider Demographics
NPI:1710070842
Name:MWANGI, DORCAS W (NP)
Entity Type:Individual
Prefix:
First Name:DORCAS
Middle Name:W
Last Name:MWANGI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:865 N HIGHLAND AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-4565
Mailing Address - Country:US
Mailing Address - Phone:770-842-8698
Mailing Address - Fax:770-842-8698
Practice Address - Street 1:465 WINN WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1753
Practice Address - Country:US
Practice Address - Phone:404-508-0010
Practice Address - Fax:404-508-0030
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-07-01
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Provider Licenses
StateLicense IDTaxonomies
GARN162748363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily