MEDICARE: BETH MARIE POWERS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704199609	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	OF96004	OTHER		MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4704199609	OTHER	MI	MICHIGAN LICENSE

General Provider Information

NPI Number	:	1811279789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETH MARIE POWERS NP

Provider Business Mailing Address
First Line	:	3860 S STRAITS HWY
Second Line	:
City	:	INDIAN RIVER
State	:	MI
Zip	:	49749-5146
Country	:	US
Telephone Number	:	231-238-0581
Fax Number	:	231-238-0856

Provider Business Practice Location Address
First Line	:	3860 S STRAITS HWY
Second Line	:
City	:	INDIAN RIVER
State	:	MI
Zip	:	49749-5146
Country	:	US
Telephone Number	:	231-238-0581
Fax Number	:	231-238-0856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	02/04/2022

Similar Medicare Providers

1164206637 — MARJORIE LEE BEIGLE AGNP
Practice Location Address:

3860 S STRAITS HWY
INDIAN RIVER, MI
49749-5146

Practice Phone: 231-238-0581
Practice Fax:

1508392614 — BENJAMIN VANOS DO
Practice Location Address:

3860 S STRAITS HWY
INDIAN RIVER, MI
49749-5146

Practice Phone: 231-238-0581
Practice Fax:

1174043889 — MICHAEL D KATONA NP
Practice Location Address:

3860 S STRAITS HWY
INDIAN RIVER, MI
49749-5146

Practice Phone: 231-238-0581
Practice Fax: 989-731-7929

1265937718 — KRISTIN ROUSSEAU PT
Practice Location Address:

3805 S STRAITS HWY
INDIAN RIVER, MI
49749-5146

Practice Phone: 231-238-4880
Practice Fax: 231-238-8777

1578029328 — KATHERINE KLOSE DPT
Practice Location Address:

3805 S STRAITS HWY
INDIAN RIVER, MI
49749-5146

Practice Phone: 231-238-4880
Practice Fax:

1891254892 — SUZANNE C HOWARD PT
Practice Location Address:

3805 S STRAITS HWY
INDIAN RIVER, MI
49749-5146

Practice Phone: 231-238-4880
Practice Fax: 231-238-8777

Directions to “ BETH MARIE POWERS NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.