Individual
DORCAS MARY SIYANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3033 KETTERING BLVD STE 100, MORAINE, OH 45439-1948
(937) 293-2133
Mailing address
3033 KETTERING BLVD, MORAINE, OH 45439-1962
(937) 293-2133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP#3007219
KY
363LF0000X
Family Nurse Practitioner
Primary
CNP#12729-NP
OH
Other
Enumeration date
01/27/2012
Last updated
12/13/2019
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