| NPI | 1235644295 |
|---|---|
| Doing Business As | CREATIVE CARE SPECIALIST PLLC |
| Entity Type | Organization |
| Authorized Contact | EDDIE BELLEZA TABARANGAO Owner/Manager 480-246-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7465) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: AZ AP7465) |
| 261QH0100X Clinic/Center, Health Services (Licence: AZ AP7465) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ AP7465) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |