Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otsego Family Medical Practice, PLLC

Organization Family Nurse Practitioner · NPI 1801920533

Otsego Family Medical Practice, PLLC is a Family Nurse Practitioner 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.

See every abbreviation used in this directory →

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