Provider Demographics
NPI:1114681426
Name:DOERING, DENNIS ERIC (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ERIC
Last Name:DOERING
Suffix:
Gender:M
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 PINION DR
Mailing Address - Street 2:
Mailing Address - City:UNITED STATES AIR FORCE ACAD
Mailing Address - State:CO
Mailing Address - Zip Code:80840-2502
Mailing Address - Country:US
Mailing Address - Phone:719-333-5177
Mailing Address - Fax:
Practice Address - Street 1:5136 COMMUNITY CENTER DR
Practice Address - Street 2:
Practice Address - City:UNITED STATES AIR FORCE ACAD
Practice Address - State:CO
Practice Address - Zip Code:80840-3002
Practice Address - Country:US
Practice Address - Phone:719-333-5177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999975-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health