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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

NPI # 1235644295
LBN Legal business name CREATIVE CARE SPECIALIST PLLC
Authorized official EDDIE TABARANGAO - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2017
Last updated 12/12/2017 - About 8 years ago
Identifiers
AZ License # AP7465
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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