MS. DALE ANN MANZOEILLO NP
NPI 1669672697
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since July 18, 2007
4315 N MARYVALE PKWY, PHOENIX, AZ 85031(602) 243-7277(623) 691-1770 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Dale Ann Manzoeillo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DALE ANN MANZOEILLO NP (NPI 1669672697) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP2462) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1669672697
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. DALE ANN MANZOEILLOCredential: NP
Location Address4315 N MARYVALE PKWYPhoenix, AZ 85031-1942
Mailing Address2702 N 3rd St Ste 4020, Suite 102Phoenix, AZ 85004-4608 · (602) 323-3492 · Fax (602) 323-3399
Fax(623) 691-1770
Sole ProprietorNo
Enumeration DateJuly 18, 2007
Last NPPES UpdateNovember 7, 2016
NPI 1669672697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in AZ · AP2462
4315 N MARYVALE PKWY, Phoenix, AZ 85031

Other Identifiers 3

Other11774490AZ · Caqh
Medicaid230765AZ
Medicare PINZ194815AZ

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (School)
4315 N MARYVALE PKWY
PHOENIX, AZ 85031
Dental Hygienist
4315 N MARYVALE PKWY
PHOENIX, AZ 85031
Licensed Practical Nurse
4315 N MARYVALE PKWY
PHOENIX, AZ 85031
Speech-Language Pathologist
4315 N MARYVALE PKWY
PHOENIX, AZ 85031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Manzoeillo's NPI number?

The NPI number for Dale Manzoeillo is 1669672697. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Dale Manzoeillo located?

Dale Manzoeillo practices at 4315 N Maryvale Pkwy, Phoenix, AZ 85031. The listed phone number is (602) 243-7277.

What is Dale Manzoeillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Dale Manzoeillo was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.