Provider Demographics
NPI:1326320474
Name:DOERING, EULA ANN (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:EULA
Middle Name:ANN
Last Name:DOERING
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 LYNCROSS ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8440
Mailing Address - Country:US
Mailing Address - Phone:614-716-8839
Mailing Address - Fax:
Practice Address - Street 1:2415 LYNCROSS ST
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8440
Practice Address - Country:US
Practice Address - Phone:614-716-8839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.361610163W00000X
OHAPRN.CNP.0027170363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse