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

Mrs. Tracy Latawnia Primus, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1235281262

Mrs. Tracy Latawnia Primus, REGISTEREDNURSE is a Registered Nurse in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

781 36th St SE
Grand Rapids, MI 49548-2319
Phone: (616) 248-5168
Fax: (616) 243-2302
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704253947 (MI)

Record details

NPI number1235281262
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007

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