Provider Demographics
NPI:1902008139
Name:DOTTI, NANCY M (RN CNM)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:DOTTI
Suffix:
Gender:F
Credentials:RN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 SUMMIT TER S
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2407
Mailing Address - Country:US
Mailing Address - Phone:973-838-8445
Mailing Address - Fax:908-810-9363
Practice Address - Street 1:1896 MORRIS AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3535
Practice Address - Country:US
Practice Address - Phone:908-687-8282
Practice Address - Fax:908-810-9363
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00025901367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife