Provider Demographics
NPI:1689365397
Name:DOERFLER, NATHAN HENRY
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:HENRY
Last Name:DOERFLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 GAYLE DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-2021
Mailing Address - Country:US
Mailing Address - Phone:614-824-9481
Mailing Address - Fax:
Practice Address - Street 1:88 GAYLE DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-2021
Practice Address - Country:US
Practice Address - Phone:614-824-9481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion