MAIN STREET FAMILY PRACTICE PC
NPI 1972706612
Nurse Practitioner in West Branch, MI

Q: What is Main Street Family Practice PC's NPI number?

The NPI number for Main Street Family Practice PC is 1972706612. It was assigned to this organization in the NPPES registry on June 8, 2007.

Q: What is Main Street Family Practice PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 08, 2007

117 S BURGESS ST, WEST BRANCH, MI 48661(989) 343-1367(989) 343-1427 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Main Street Family Practice Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET FAMILY PRACTICE PC (NPI 1972706612) is a healthcare organization registered as a nurse practitioner in West Branch, Michigan and active in the NPI registry since June 2007. The organization lists Marilyn Elizabeth Louis, Onwer, as its authorized official.

NPPES Registry Identity

NPI1972706612

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMAIN STREET FAMILY PRACTICE PC

Location Address117 S BURGESS STWest Branch, MI 48661-1403

Mailing Address117 S Burgess StWest Branch, MI 48661-1403 · (989) 343-1367 · Fax (989) 343-1427

Phone(989) 343-1367

Fax(989) 343-1427

Organization SubpartNo

Authorized OfficialMarilyn Elizabeth LouisOnwer · (989) 343-1367

Enumeration DateJune 8, 2007

Last NPPES UpdateAugust 27, 2009

✔ NPI 1972706612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

117 S BURGESS ST, West Branch, MI 48661

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Other Identifiers 4

Medicare ID-Type Unspecified0N96130MI

Medicare UPINP24689MI

Other5008703250MI · Bcbsm

Medicaid4627355MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST BRANCH SURGICAL ASSOCIATES, P.C.

Specialist

117 S BURGESS ST
WEST BRANCH, MI 48661

Ogemaw County (989) 345-2234

DR. JAY DANIEL COLLINS M.D.

Surgery

117 S BURGESS ST
WEST BRANCH, MI 48661

Ogemaw County (989) 345-2234

SHARED CARE OF WEST BRANCH LLC

Durable Medical Equipment & Medical Supplies

117 S BURGESS ST
WEST BRANCH, MI 48661

Ogemaw County (989) 345-7813

LORI ANN TETU MSN, RN, FNP-BC

Nurse Practitioner

117 S BURGESS ST
WEST BRANCH, MI 48661

Ogemaw County (989) 343-1367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Family Practice PC's NPI number?

The NPI number for Main Street Family Practice PC is 1972706612. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Main Street Family Practice PC located?

Main Street Family Practice PC is located at 117 S Burgess St, West Branch, MI 48661. The listed phone number is (989) 343-1367.

What is Main Street Family Practice PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Main Street Family Practice PC was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.