Healthcare Provider Details

I. General information

NPI: 1952554057
Provider Name (Legal Business Name): JANET MARIE BEATTIE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1484 STRAITS DR STE 5
BAY CITY MI
48706-8718
US

IV. Provider business mailing address

PO BOX 40412
BELFAST ME
04915-1255
US

V. Phone/Fax

Practice location:
  • Phone: 989-667-8740
  • Fax:
Mailing address:
  • Phone: 248-824-6032
  • Fax: 855-618-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704190454
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704190454
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: