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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMAOBONG IBOKETTE VANDERPOOL, NP

Active

IMAOBONG IBOKETTE VANDERPOOL, NP is a Primary Care Nurse Practitioner healthcare provider located in SOUTHFIELD, Michigan. NPI 1841849544 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · SOUTHFIELD, MI

Registration Details

NPI Number
1841849544
Provider Type
Individual
Gender
Female
NPI Issued
Sep 5, 2019 (6.9493313736773 yrs)
Last Updated
Sep 5, 2019
License
4704313471 (MI)

Practice Information

Address
17256 ROSELAND BLVD
SOUTHFIELD, MI, 480762823
Browse MI providers · Browse ZIP 48076
Phone
2483880881
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in SOUTHFIELD, MI

Name Credential NPI
MRS. JUDITH MARIE ADAMS N.P.-C. 1679625321
CLARISSE MICHELLE CARTER 1932247889
DEANNA CHEW 1629457213
MRS. JACQUELINE ELIZABETH SMITH AGPCNP-BC 1538544218
MRS. YOLANDA YVETTE CUFF NURSE PRACTITIONER 1215385851
DR. SHARON BLACKSHIRE-TUBIE FNP-BC 1245764737
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.