Provider Demographics
NPI:1962025767
Name:DOERING, ABBY (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:
Last Name:DOERING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:STAUDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:214 JULIE CT
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-3835
Mailing Address - Country:US
Mailing Address - Phone:641-257-7043
Mailing Address - Fax:
Practice Address - Street 1:164 W DALE ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1925
Practice Address - Country:US
Practice Address - Phone:319-226-2170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG158857363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health