Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Avery Dinallo, DNP, APN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1902328404

Dr. Avery Dinallo, DNP, APN, FNP-C is a Nurse Practitioner in Meridian, Idaho. Qualified in 2017, 9 years ago. Practices with Mountain Pine Dermatology PLLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

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Practice location Address checks out

4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442
Phone: (208) 898-7467
Fax: (208) 398-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4915 Ehrlich Rd, Tampa, FL 33624-2038 — (813) 960-2400

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00744300 (NJ)

Record details

NPI number1902328404
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , APN , FNP-C
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mountain Pine Dermatology Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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