Organization
CREATIVE CARE SPECIALIST PLLC
Active
Other names
CREATIVE CARE SPECIALIST PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE BELLEZA TABARANGAO NP (OWNER/MANAGER)
(480) 246-9242
Entity
Organization
Contact information
Practice address
4280 E SIERRA MADRE AVE, GILBERT, AZ 85296-1589
(480) 246-9242
Mailing address
4280 E SIERRA MADRE AVE, GILBERT, AZ 85296-1589
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
AP7465
AZ
261QH0100X
Health Service Clinic/Center
AP7465
AZ
261QM1300X
Multi-Specialty Clinic/Center
AP7465
AZ
363L00000X
Nurse Practitioner
Primary
AP7465
AZ
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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