Provider Demographics
NPI:1669238457
Name:BELANIC, CHRISTINE (RN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:BELANIC
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 CALLAWAY RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LONDON
Mailing Address - State:ON
Mailing Address - Zip Code:N6G 0Z3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:480 CALLAWAY RD
Practice Address - Street 2:SUITE 305
Practice Address - City:LONDON
Practice Address - State:ON
Practice Address - Zip Code:N6G 0Z3
Practice Address - Country:CA
Practice Address - Phone:226-456-6829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-28
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ9329301163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse