Provider Demographics
NPI:1215522149
Name:RENCKEN, DANIKA (NP)
Entity type:Individual
Prefix:
First Name:DANIKA
Middle Name:
Last Name:RENCKEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 OSTERVILLE CT
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-1550
Mailing Address - Country:US
Mailing Address - Phone:603-732-2002
Mailing Address - Fax:
Practice Address - Street 1:2 OSTERVILLE CT
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-1550
Practice Address - Country:US
Practice Address - Phone:603-732-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN75479163WH0200X
MECNP221220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health