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

Stacey Tyrell

Individual provider Registered Nurse · NPI 1083419741

Stacey Tyrell is a Registered Nurse in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

980 Diamond Ave NE Apt 2
Grand Rapids, MI 49503-1290
Phone: (815) 603-9826
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704403304 (MI)

Record details

NPI number1083419741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address980 Diamond Ave Ne Apt 2, Grand Rapids, MI 49503-1290

Other providers in Grand Rapids