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.
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.