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

Michelle Dibaise, PA-C

Individual provider Medical Physician Assistant · NPI 1568847267

Michelle Dibaise, PA-C is a Medical Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

230 S 12th Ave Healthcare For The Homeless
Phoenix, AZ 85007-3101
Phone: (602) 827-2420
Fax: (602) 827-2425
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3633 (AZ)

Record details

NPI number1568847267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2015
Last updated in NPPESJuly 22, 2015

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