Healthcare Provider Details
I. General information
NPI: 1962470005
Provider Name (Legal Business Name): DORCAS L RIEHL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/14/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
584 SPRINGVILLE RD
NEW HOLLAND PA
17557-9564
US
IV. Provider business mailing address
3633 E PEQUEA LN
GORDONVILLE PA
17529-9711
US
V. Phone/Fax
- Phone: 717-354-4711
- Fax: 717-355-0259
- Phone: 717-468-1316
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | SP008288 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | SP008288 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: