Individual
TABITHA GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
664 MICHIGAN AVE, HOLLAND, MI 49423-4944
(616) 392-5973
Mailing address
3583 ARBOR CHASE CT NE, GRAND RAPIDS, MI 49525-9454
(928) 600-7779
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704300959
MI
Other
Enumeration date
12/04/2024
Last updated
05/12/2026
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