Provider Demographics
NPI:1215101423
Name:GREENE, DAYNA JOY (MSN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:JOY
Last Name:GREENE
Suffix:
Gender:F
Credentials:MSN, CPNP
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Other - Credentials:
Mailing Address - Street 1:100 N MEDICAL DR
Mailing Address - Street 2:PRIMARY CHILDREN'S MEDICAL CENTER, ONCOLOGY/HEMATOLOGY
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84113-1103
Mailing Address - Country:US
Mailing Address - Phone:801-662-4573
Mailing Address - Fax:801-662-4833
Practice Address - Street 1:100 N MEDICAL DR
Practice Address - Street 2:PRIMARY CHILDREN'S MEDICAL CENTER, ONCOLOGY/HEMATOLOGY
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113-1103
Practice Address - Country:US
Practice Address - Phone:801-662-4573
Practice Address - Fax:801-662-4833
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT344942-4405363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics