Individual
BETH MARIE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3860 S STRAITS HWY, INDIAN RIVER, MI 49749-5146
(231) 238-0581
(231) 238-0856
Mailing address
3860 S STRAITS HWY, INDIAN RIVER, MI 49749-5146
(231) 238-0581
(231) 238-0856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704199609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704199609
MICHIGAN LICENSE
MI
01
—
OF96004
MEDICARE GROUP NUMBER
—
Enumeration date
09/15/2011
Last updated
02/04/2022
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