# MISS DAYNA NICOLE PORTNOY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265476345
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 041-265829 | IL | Yes |
| 363L00000X | Nurse Practitioner | 209-006098 | IL | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 07/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00378000 | MEDICARE RAILROAD | IL |
| 05 | — | XXXXXXXXX-001 | — | IL |