Individual provider · Type 1 NPI

Stacey Tyrell

Registered Nurse · Grand Rapids, MI

NPI number 1083419741 Active

Practice location

980 Diamond Ave NE Apt 2
Grand Rapids, MI 49503-1290

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704403304 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083419741

Stacey Tyrell's National Provider Identifier is 1083419741, issued on Feb 17, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 17, 2025.