Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | CNP211402 | ME |
NPI | 1033754643 |
---|---|
Provider Name | Dayna E Lincoln |
First Address | Patten, ME 04765-3007 |
Second Address | Houlton, ME 04730-1740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2019 |
Last Update Date | 10/11/2021 |