Individual provider · Type 1 NPI
Dayna Nicole Portnoy, NP
General Practice Registered Nurse · Wilmette, IL
NPI number
1265476345
Active
Practice location
1200 Central Ave, Suite 200
Wilmette, IL 60091-2654
Mailing address
380 Ridge Ave, 14-2
Evanston, IL 60202-3357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 041-265829 (IL) |
| Nurse Practitioner | 363L00000X | 209-006098 (IL) |
General Practice Registered Nurse: Definition to come...
3 other providers at this address
About NPI 1265476345
Dayna Nicole Portnoy, NP's National Provider Identifier is 1265476345, issued on Jun 16, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Wilmette, IL. The record was last updated on Jul 8, 2009.