Provider Demographics
NPI:1447399589
Name:DOERING, DANA DEAN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DANA DEAN
Middle Name:
Last Name:DOERING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11730
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-5730
Mailing Address - Country:US
Mailing Address - Phone:206-324-3344
Mailing Address - Fax:866-281-6677
Practice Address - Street 1:9431 COPPERTOP LOOP NE
Practice Address - Street 2:102
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-3684
Practice Address - Country:US
Practice Address - Phone:206-324-3344
Practice Address - Fax:866-281-6677
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004416363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health