Provider Demographics
NPI:1881435949
Name:DAIAN, CALINA (WHNP-BC)
Entity type:Individual
Prefix:
First Name:CALINA
Middle Name:
Last Name:DAIAN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 LACKAWANNA AVE APT 418
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-2087
Mailing Address - Country:US
Mailing Address - Phone:425-830-7073
Mailing Address - Fax:
Practice Address - Street 1:160 E HANOVER AVE STE 107&112
Practice Address - Street 2:
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2000
Practice Address - Country:US
Practice Address - Phone:973-683-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15052800363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health