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

TIJUNAE DIANE OTTERBRIDGE

Active

TIJUNAE DIANE OTTERBRIDGE is a Nurse's Aide healthcare provider located in GRAND RAPIDS, Michigan. NPI 1861208951 is currently active in the NPPES registry. Verify at CMS.

Nurse's Aide · GRAND RAPIDS, MI

Registration Details

NPI Number
1861208951
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2024 (1.6512287945733 yrs)
Last Updated
Dec 4, 2024
License
MI000059116 (MI)

Practice Information

Address
4218 BURTON ST SE
GRAND RAPIDS, MI, 495466121
Browse MI providers · Browse ZIP 49546
Phone
6169400040
Primary Specialty
Nurse's Aide
376K00000X

Other Nurse's Aide Providers in GRAND RAPIDS, MI

Name Credential NPI
CHRISTOPHER WOLTERSTORFF M.A. 1811247414
COREY DUPS 1740792043
AMBER SAMONS 1043932726
WANDA THOMAS 1942907365
ALLAYA OFFUTT CNA 1376222851
KATE MAURA DOUGLASS 1508615436
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.