Provider Demographics
NPI:1033754643
Name:LINCOLN, DAYNA E (CNP)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:E
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 WHITE SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:HODGDON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-4268
Mailing Address - Country:US
Mailing Address - Phone:207-694-4655
Mailing Address - Fax:
Practice Address - Street 1:1153 WHITE SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:HODGDON
Practice Address - State:ME
Practice Address - Zip Code:04730-4268
Practice Address - Country:US
Practice Address - Phone:207-694-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN62539163WP0200X
MECNP211402363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics