Provider Demographics
NPI:1568272870
Name:COYNE, DANIEL C (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:COYNE
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 BOUTAS DR
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2407
Mailing Address - Country:US
Mailing Address - Phone:781-679-4141
Mailing Address - Fax:
Practice Address - Street 1:225 FOXBOROUGH BLVD STE 201
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-3062
Practice Address - Country:US
Practice Address - Phone:508-901-4685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2334975363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health