Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Dimiceli

Individual provider Pediatric Nurse Practitioner · NPI 1356911994

Carolyn Dimiceli is a Pediatric Nurse Practitioner in Phoenix, Arizona. Practices as a sole proprietor and works from 3 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
Specialties on file
2

Practice location Address checks out

4434 N 12th St
Phoenix, AZ 85014-4507
Phone: (602) 242-5121
Fax: (602) 242-6945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5940 W Union Hills Dr Ste D100, Glendale, AZ 85308-1361 — (602) 678-2500
  • 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 — (602) 971-5121

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 259820 (AZ)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 259820 (AZ)

Record details

NPI number1356911994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 27, 2021
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

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