MICHELLE DIBAISE PA-C NPI 1568847267

NPI Information

NPI: 1568847267
Provider Name: MICHELLE DIBAISE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
230 S 12TH AVE
HEALTHCARE FOR THE HOMELESS
PHOENIX, AZ
ZIP 85007
Phone: (602) 827-2420
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Michelle Dibaise, PA-C is a medical physician assistant in Phoenix, AZ. Michelle Dibaise, PA-C NPI is 1568847267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

230 S 12TH AVE
HEALTHCARE FOR THE HOMELESS
PHOENIX, AZ
ZIP 85007-101
Phone: (602) 827-2420
Fax: (602) 827-2425

The enumeration date for this NPI number is 7/22/2015 and was last updated on 7/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	3633	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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