Doctor Name: | CORINA BELEAN |
NPI Number: | 1134510332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP-BC |
License Number: | 4704270341 |
Business Practice Address: | 1900 Woodland Dr Coos Bay, OR - 974202045 |
Business Phone Number: | 5412675151 |
Business Fax Number: | |
Mailing Address: | 1900 Woodland Dr, COOS BAY |
State: | OR |
Postal Code: | 974202045 |
Phone Number: | 5412675151 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 4704270341 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |