person
Imaobong Ibokette Vanderpool, NP
Primary Care Nurse Practitioner in Southfield, Michigan
NPI 1841849544

Imaobong Ibokette Vanderpool is a Primary Care Nurse Practitioner based in Southfield, MI and is specialized in Primary Care. Imaobong Ibokette Vanderpool practices in Southfield, MI and has the professional credentials of NP. The NPI Number for Imaobong Ibokette Vanderpool is 1841849544 and holds a License No. 4704313471 (Michigan).

The current practice location address for Imaobong Ibokette Vanderpool is 17256 Roseland Blvd, Southfield, MI and can be reached out via phone at 248-388-0881.

Location: 17256 Roseland Blvd, Southfield, MI, 48076-2823
person
Provider Profile Details
NPI Number
1841849544
Provider Name
Imaobong Ibokette Vanderpool
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
17256 Roseland Blvd, Southfield, MI, 48076-2823
Phone Number
248-388-0881
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17256 Roseland Blvd
City
State
Zip
48076-2823
Phone Number
248-388-0881
Fax Number
person
Provider Business Mailing Address Details
Address
17256 Roseland Blvd
City
State
Zip
48076-2823
Phone Number
248-388-0881
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
4704313471 (Michigan)
Definition
Definition to come...
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