Provider Demographics
NPI:1730948068
Name:DINELLARI, NERTILA (RHIT,CHW)
Entity type:Individual
Prefix:
First Name:NERTILA
Middle Name:
Last Name:DINELLARI
Suffix:
Gender:F
Credentials:RHIT,CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36755 CANYON DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-3400
Mailing Address - Country:US
Mailing Address - Phone:124-857-9314
Mailing Address - Fax:
Practice Address - Street 1:36755 CANYON DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-3400
Practice Address - Country:US
Practice Address - Phone:124-857-9314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker