Individual provider · NPI-1

Tiara Dolores Rudzinski, AG-CNS BC

Clinical Nurse Specialist · Grand Rapids, MI

NPI number1346078052
StatusActive
Last updated in NPPESJun 24, 2026

Details

NPI
1346078052
Entity type
Individual (NPI-1)
Name
Tiara Dolores Rudzinski
Credential
AG-CNS BC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2024
Certification date
Jun 24, 2026
Last updated
Jun 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse Specialist4704345043MIYes

Practice location

109 Michigan St Nw Ste 424
Grand Rapids, MI 49503-3799

Phone 616-200-8435 · Fax 616-639-1319

Mailing address

109 Michigan St Nw Ste 424
Grand Rapids, MI 49503-3799

Phone 616-200-8435 · Fax 616-639-1319

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Nurse Specialist providers in Grand Rapids, MI