Provider Demographics
NPI:1669348827
Name:VAN HET HOF, BEYRUT CRUZ (FNP-C)
Entity type:Individual
Prefix:
First Name:BEYRUT
Middle Name:CRUZ
Last Name:VAN HET HOF
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 E LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-4962
Mailing Address - Country:US
Mailing Address - Phone:432-202-6440
Mailing Address - Fax:888-649-1089
Practice Address - Street 1:1400 PROVINCIAL RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:ON
Practice Address - Zip Code:N8W 5W1
Practice Address - Country:CA
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704312755NSA250W3207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine