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

Individual provider Registered Dietitian · NPI 1457706707

Patricia Ann Tucker, RDNIBCLC is a Registered Dietitian in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4490 Bonanza Dr NE
Grand Rapids, MI 49525-6848
Phone: (616) 481-7563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-35277 (MI)
Registered Dietitian Taxonomy 133V00000X · Licence 660207 (MI)

Record details

NPI number1457706707
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDNIBCLC
Sole proprietorYes
NPI enumeratedApril 24, 2016
Last updated in NPPESApril 24, 2016

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