Provider Demographics
NPI:1356571533
Name:PATERA, DAYANA ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:DAYANA
Middle Name:ELIZABETH
Last Name:PATERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAYANA
Other - Middle Name:ELIZABETH
Other - Last Name:BRICENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:555 S 70TH ST
Mailing Address - Street 2:IMS OFFICE
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2462
Mailing Address - Country:US
Mailing Address - Phone:402-219-8747
Mailing Address - Fax:
Practice Address - Street 1:555 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2462
Practice Address - Country:US
Practice Address - Phone:402-219-8747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine