Healthcare Provider Details

I. General information

NPI: 1477674976
Provider Name (Legal Business Name): DOROTHY A BORRESEN APN, PHD (APN) PSYCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 INGLESIDE AVE
PENNINGTON NJ
08534-2710
US

IV. Provider business mailing address

7 INGLESIDE AVE
PENNINGTON NJ
08534-2710
US

V. Phone/Fax

Practice location:
  • Phone: 609-915-9893
  • Fax:
Mailing address:
  • Phone: 609-915-9893
  • Fax: 609-406-9319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberSI3414
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number355100341400
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NC05741500
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNC57415
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: