National Provider Identifier Database

CREATIVE CARE SPECIALIST PLLC
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

CREATIVE CARE SPECIALIST PLLC
4280 E SIERRA MADRE AVE
GILBERT, AZ85296-1589
Phone: 480-246-9242
Fax:
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Health Service 261QH0100X
Hospice Care, Community Based 251G00000X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for CREATIVE CARE SPECIALIST PLLC

NPI Number 1235644295
Legal business name
LBN
CREATIVE CARE SPECIALIST PLLC
Authorized official EDDIE TABARANGAO - (OWNER/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 12/12/2017
Last updated 12/12/2017 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: AP7465

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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