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

Tijunae Diane Otterbridge

Individual provider Nurse's Aide · NPI 1861208951

Tijunae Diane Otterbridge is a Nurse's Aide in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

4218 Burton St SE
Grand Rapids, MI 49546-6121
Phone: (616) 940-0040
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence MI000059116 (MI)

Record details

NPI number1861208951
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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