Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Eddie Belleza Tabarangao, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1285030312

Mr. Eddie Belleza Tabarangao, ACNPC-AG is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2014, 12 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2014
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Practice location Address checks out

4280 E Sierra Madre Ave
Gilbert, AZ 85296-1589
Phone: (480) 246-9242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP7465 (AZ)

Record details

NPI number1285030312
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedNovember 17, 2014
Last updated in NPPESOctober 27, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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