Individual provider · Type 1 NPI

Azra Marie Totobesola

Nurse Practitioner · St. Joseph, MI

NPI number 1871334623 Active

Practice location

4025 Health Park Ln
St. Joseph, MI 49085-3421

Fax (269) 429-5606

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X4704311055 (MI)
Nurse Practitioner Primary 363L00000X4704311055 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1871334623

Azra Marie Totobesola's National Provider Identifier is 1871334623, issued on Jun 5, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Joseph, MI. The record was last updated on Jul 2, 2025.