Healthcare Provider Details

I. General information

NPI: 1134510332
Provider Name (Legal Business Name): CORINA BELEAN ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PUNCHBOWL ST
HONOLULU HI
96813-2413
US

IV. Provider business mailing address

19584 NORTHRIDGE DR
NORTHVILLE MI
48167-2912
US

V. Phone/Fax

Practice location:
  • Phone: 248-631-6212
  • Fax:
Mailing address:
  • Phone: 248-631-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704270341
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704270341
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-5388
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: