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Contact Information

CREATIVE CARE SPECIALIST PLLC
4280 E SIERRA MADRE AVE
GILBERT, AZ85296-1589
 Phone: 480-246-9242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Health Service

261QH0100X
 

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for CREATIVE CARE SPECIALIST PLLC · (Female)

NPI # 1235644295
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2017
Last updated 12/12/2017 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # AP7465
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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