Provider Demographics
NPI:1730110214
Name:DOERFLER, ROBERT ERIC (CRNP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ERIC
Last Name:DOERFLER
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 CEDAR CLIFF DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7706
Mailing Address - Country:US
Mailing Address - Phone:717-761-6902
Mailing Address - Fax:
Practice Address - Street 1:1521 CEDAR CLIFF DR
Practice Address - Street 2:SUITE 203
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7706
Practice Address - Country:US
Practice Address - Phone:717-761-6902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP003948C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50041621OtherCAPTAL BLUE CROSS/KEYSTON
PAS45018OtherHEALTH AMERICA/HEALTH ASS
PAS45018OtherHEALTH AMERICA/HEALTH ASS