Healthcare Provider Details

I. General information

NPI: 1629777354
Provider Name (Legal Business Name): DIALA A MINKARA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E 3RD ST
CHATTANOOGA TN
37403-2102
US

IV. Provider business mailing address

921 E 3RD ST
CHATTANOOGA TN
37403-2102
US

V. Phone/Fax

Practice location:
  • Phone: 423-209-8000
  • Fax: 423-209-8001
Mailing address:
  • Phone: 423-209-8000
  • Fax: 423-209-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number33536
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: