Individual provider · Type 1 NPI
Derek Dicamillo, FNP-C
Family Nurse Practitioner · Phoenix, AZ
NPI number
1972105542
Active
Practice location
14631 N Cave Creek Rd
Phoenix, AZ 85022-4159
Fax (623) 624-7158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 249881 (AZ) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1972105542
Derek Dicamillo, FNP-C's National Provider Identifier is 1972105542, issued on Nov 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 19, 2026.