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

Azra Marie Totobesola

Individual provider Primary Care Nurse Practitioner · NPI 1871334623

Azra Marie Totobesola is a Nurse Practitioner in Saint Joseph, Michigan. Qualified in 2022, 4 years ago. Practices with Lakeland Community Hospital Watervliet, a 65-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

4025 Health Park Ln
Saint Joseph, MI 49085-3421
Phone: (269) 985-4467
Fax: (269) 429-5606
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704311055 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704311055 (MI)

Record details

NPI number1871334623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeland Community Hospital Watervliet — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Saint Joseph