Individual provider · Type 1 NPI

Tijunae Diane Otterbridge

Nurse's Aide · Grand Rapids, MI

NPI number 1861208951 Active

Practice location

4218 Burton St SE
Grand Rapids, MI 49546-6121

Call (616) 940-0040 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XMI000059116 (MI)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1861208951

Tijunae Diane Otterbridge's National Provider Identifier is 1861208951, issued on Dec 4, 2024. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 4, 2024.