Healthcare Provider Details

I. General information

NPI: 1336010719
Provider Name (Legal Business Name): ALISON BELLESTRI
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 TURF LN
EAST LANSING MI
48823-6392
US

IV. Provider business mailing address

319 PINE CREEK CT
WATERFORD MI
48327-1585
US

V. Phone/Fax

Practice location:
  • Phone: 517-484-3000
  • Fax:
Mailing address:
  • Phone: 248-880-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number367A00000X
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number4704352017
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: