Tucker, Patricia Ann

Tucker, Patricia Ann is an sole proprietor health care provider with primary practice located at 4490 Bonanza Dr Ne , Grand Rapids MI 49525-6848. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Lactation Consultant, Non-RN. Other Service Providers / Lactation Consultant, Non-RN is her primary health care specialty. Tucker, Patricia Ann can be contacted via phone (616) 481-7563.

Contact Information

Primary practice address
4490 Bonanza Dr Ne Grand Rapids MI 49525-6848
Phone: (616) 481-7563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 660207 Michigan
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-35277 Michigan

Profile Details

NPI number 1457706707
LBN Legal business name Tucker, Patricia Ann
Credentials RDN IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2016
Last updated Apr 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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