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NPI Code Detail

MEDICARE: BEYRUT CRUZ VAN HET HOF FNP-C

MEDICARE: BEYRUT CRUZ VAN HET HOF FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4704312755NSA250W3MI
2208D00000XGeneral Practice Physician4704312755NSA250W3MI

General Provider Information

NPI Number : 1669348827
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEYRUT CRUZ VAN HET HOF FNP-C
Provider Business Mailing Address
First Line : 3400 E LAFAYETTE ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-4962
Country : US
Telephone Number : 432-202-6440
Fax Number : 888-649-1089
Provider Business Practice Location Address
First Line : 31705 PLYMOUTH RD
Second Line :
City : LIVONIA
State : MI
Zip : 48150-1905
Country : US
Telephone Number : 734-744-9544
Fax Number : 734-744-9523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2025
Last Update Date : 04/14/2026

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Directions to “ BEYRUT CRUZ VAN HET HOF FNP-C” Practice Location

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