Provider Demographics
NPI:1710592712
Name:DINKOLLARI, ERMIRA (FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:ERMIRA
Middle Name:
Last Name:DINKOLLARI
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29101 BAY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-6029
Mailing Address - Country:US
Mailing Address - Phone:586-819-9793
Mailing Address - Fax:
Practice Address - Street 1:43722 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1142
Practice Address - Country:US
Practice Address - Phone:586-262-4277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704330330363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner