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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY TIBBE, MSN RN CCRN-K AGCNS

Active

MARY TIBBE, MSN RN CCRN-K AGCNS is a Gerontological Clinical Nurse Specialist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1699328393 is currently active in the NPPES registry. Verify at CMS.

Gerontological Clinical Nurse Specialist · GRAND RAPIDS, MI

Registration Details

NPI Number
1699328393
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2019 (6.8795827132376 yrs)
Last Updated
Jul 22, 2019
License
4704270663 (MI)

Practice Information

Address
100 MICHIGAN ST NE
GRAND RAPIDS, MI, 495032560
Browse MI providers · Browse ZIP 49503
Phone
6165201135
Primary Specialty
Gerontological Clinical Nurse Specialist
364SG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.