Individual
DR. AVERY DINALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN, FNP-C
Contact information
Practice address
4664 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7442
(208) 898-7467
(208) 398-2120
Mailing address
4664 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7442
(208) 898-7467
(208) 398-2120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00744300
NJ
Other
Enumeration date
07/17/2017
Last updated
02/22/2024
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