Provider Demographics
NPI:1962470005
Name:RIEHL, DORCAS L (CRNP)
Entity Type:Individual
Prefix:MS
First Name:DORCAS
Middle Name:L
Last Name:RIEHL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:DORCAS
Other - Middle Name:
Other - Last Name:SPEICHER-RIEHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:3633 E PEQUEA LN
Mailing Address - Street 2:
Mailing Address - City:GORDONVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17529-9711
Mailing Address - Country:US
Mailing Address - Phone:717-468-1316
Mailing Address - Fax:
Practice Address - Street 1:584 SPRINGVILLE RD
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-9564
Practice Address - Country:US
Practice Address - Phone:717-354-4711
Practice Address - Fax:717-355-0259
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008288363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMR1434694OtherDEA NUMBER