Healthcare Provider Details

I. General information

NPI: 1114681426
Provider Name (Legal Business Name): DENNIS ERIC DOERING DNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5136 COMMUNITY CENTER DR
UNITED STATES AIR FORCE ACAD CO
80840-3002
US

IV. Provider business mailing address

4102 PINION DR
UNITED STATES AIR FORCE ACAD CO
80840-2502
US

V. Phone/Fax

Practice location:
  • Phone: 719-333-5177
  • Fax:
Mailing address:
  • Phone: 719-333-5177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0999975-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: