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Derek Dicamillo, FNP-C
Family Nurse Practitioner in Surprise, Arizona
NPI 1972105542

Derek Dicamillo is a Family Nurse Practitioner based in Surprise, AZ and is specialized in Family. Derek Dicamillo practices in Surprise, AZ and has the professional credentials of FNP-C. The NPI Number for Derek Dicamillo is 1972105542 and holds a License No. 249881 (Arizona).

The current practice location address for Derek Dicamillo is 16300 N 151St Ln, Surprise, AZ and can be reached out via phone at 623-694-8880.

Location: 16300 N 151St Ln, Surprise, AZ, 85374-1487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972105542
Provider Name
Derek Dicamillo
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
16300 N 151St Ln, Surprise, AZ, 85374-1487
Phone Number
623-694-8880
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16300 N 151St Ln
City
Surprise
State
Arizona
Zip
85374-1487
Phone Number
623-694-8880
Fax Number
person
Provider Business Mailing Address Details
Address
16300 N 151St Ln
City
Surprise
State
Arizona
Zip
85374-1487
Phone Number
623-694-8880
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
249881 (Arizona)
Definition
Definition to come...
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