Individual
AZRA MARIE TOTOBESOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 985-4467
(269) 429-5606
Mailing address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 985-4467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704311055
MI
363LP2300X
Primary Care Nurse Practitioner
4704311055
MI
Other
Enumeration date
06/05/2024
Last updated
07/02/2025
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