Provider Demographics
NPI:1821202201
Name:FEE, DOLORES C (NP)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:C
Last Name:FEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SALEM RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-2852
Mailing Address - Country:US
Mailing Address - Phone:609-871-2060
Mailing Address - Fax:609-871-3535
Practice Address - Street 1:1000 SALEM RD
Practice Address - Street 2:SUITE B
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2852
Practice Address - Country:US
Practice Address - Phone:609-871-2060
Practice Address - Fax:609-871-3535
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP005428G163WR1000X
NJ26NJ00140200363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAUP005428GOtherNURSE PRACTITIONER LICENS
NJ26NJ00140200OtherNJ LICENSE