Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Otsego Family Medical Practice, PLLC

Organization Family Nurse Practitioner · NPI 1801920533

Otsego Family Medical Practice, PLLC provides Family Nurse Practitioner services in Gobles, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

34471 N Dr
Gobles, MI 49055-9670
Phone: (269) 628-2789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704142595 (MI)

Record details

NPI number1801920533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Boothby — Owner · (269) 628-4997
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address34471 North Dr, Gobles, MI 49055-9670