Provider Demographics
NPI:1205316742
Name:COTUGNO, DAYNA (PA-C)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:COTUGNO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 REYNOLDS MILL RD
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-5613
Mailing Address - Country:US
Mailing Address - Phone:412-915-6957
Mailing Address - Fax:
Practice Address - Street 1:215 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-2206
Practice Address - Country:US
Practice Address - Phone:336-228-8394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
PAOA004612363A00000X
NC0010-12722363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant