IndividualActive
Amy Miceli, PA-C
NPI 1073894374 · Medical Physician Assistant · Phoenix, AZ
Provider details
- NPI number
- 1073894374
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4964 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2030 W Whispering Wind Dr
Phoenix, AZ 85085-2853
Phone: (623) 869-9080
Fax: (623) 869-9090
Approximate (ZIP-level) locationGet directions
Mailing address
4510 E Michigan Ave
Phoenix, AZ 85032-1586
Registry dates
- Enumerated
- 2011-08-31
- Last updated
- 2014-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.