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Carolyn Dimiceli
Pediatric Nurse Practitioner in Prescott Valley, Arizona
NPI 1356911994

Carolyn Dimiceli is a Pediatric Nurse Practitioner based in Glendale, AZ and is specialized in Pediatrics. Carolyn Dimiceli practices in Prescott Valley, AZ. The NPI Number for Carolyn Dimiceli is 1356911994 and holds a License No. 259820 (Arizona).

The current practice location address for Carolyn Dimiceli is 7875 E Florentine Rd Ste 4, Prescott Valley, AZ and can be reached out via phone at 928-443-5599.

Location: 7875 E Florentine Rd Ste 4, Prescott Valley, AZ, 85308-3503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356911994
Provider Name
Carolyn Dimiceli
Credential
Provider Entity Type
Individual
Gender
Female
Address
7875 E Florentine Rd Ste 4, Prescott Valley, AZ, 85308-3503
Phone Number
928-443-5599
Fax Number
Provider Enumeration Date
06/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7875 E Florentine Rd Ste 4
City
Prescott Valley
State
Arizona
Zip
86314-2284
Phone Number
928-443-5599
Fax Number
person
Provider Business Mailing Address Details
Address
7875 E Florentine Rd Ste 4
City
Prescott Valley
State
Arizona
Zip
86314-2284
Phone Number
928-443-5599
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
259820 (Arizona)
Definition
Definition to come...
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