Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Tibbe, MSNRNCCRN-KAGCNS

Individual provider Gerontology Clinical Nurse Specialist · NPI 1699328393

Mary Tibbe, MSNRNCCRN-KAGCNS is a Gerontology Clinical Nurse Specialist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 520-1135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Clinical Nurse Specialist (primary) Taxonomy 364SG0600X · Licence 4704270663 (MI)

Record details

NPI number1699328393
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRNCCRN-KAGCNS
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019