Carolyn Dimiceli
Nurse Practitioner - Pediatrics
4434 N 12th St, Phoenix
Arizona, 85014-4507
602-242-5121
Carolyn Dimiceli is a Phoenix, Arizona based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Carolyn Dimiceli is 259820 in Arizona. Her current practice location is 4434 N 12th St, Phoenix. Patients can reach her at 602-242-5121 or can fax her at 602-242-6945 with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1356911994.
Carolyn Dimiceli specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Carolyn Dimiceli speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Carolyn Dimiceli |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Practice Address: | 4434 N 12th St, Phoenix,
Arizona, 85014-4507 |
| Phone: | 602-242-5121 |
| Fax: | 602-242-6945 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1356911994 |
| NPI Enumeration Date: | 27 Jun, 2021 |
| NPI Last Update On: | 27 Jun, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carolyn Dimiceli are as mentioned below.
| License Number | Specialization | State | Status | |
| 259820 | | Arizona | Primary | |
| 259820 | Pediatrics | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Carolyn Dimiceli such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 104847 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Carolyn Dimiceli
4434 N 12th St,
Phoenix, Arizona |
| Zip: | 85014-4507 |
| Phone Number: | 602-242-5121 |
| Fax Number: | 602-242-6945 |
Patients can reach Carolyn Dimiceli at
4434 N 12th St, Phoenix, Arizona or can
call to book an appointment on 602-242-5121.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.