Search › Michigan › 174N00000X
Patricia Tucker, RDN IBCLC
NPI 1457706707 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4490 Bonanza Dr Ne
Grand Rapids, MI 49525 - Phone
- (616) 481-7563
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Also registered as
- 133V00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan