Healthcare Provider Details

I. General information

NPI: 1427854074
Provider Name (Legal Business Name): KAREN ANN DOERFLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 30TH AVE E
ALEXANDRIA MN
56308-4769
US

IV. Provider business mailing address

11275 COUNTY ROAD 11 NE
ALEXANDRIA MN
56308-8041
US

V. Phone/Fax

Practice location:
  • Phone: 320-247-7077
  • Fax:
Mailing address:
  • Phone: 612-518-2187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberR120529-9
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: