Individual provider · Type 1 NPI

Delorrian Bobo

Licensed Practical Nurse · Grand Rapids, MI

NPI number 1003748393 Active

Practice location

2430 Martin Ave SE
Grand Rapids, MI 49507-3541

Call (832) 316-1617 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703132129 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003748393

Delorrian Bobo's National Provider Identifier is 1003748393, issued on Jun 1, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 1, 2026.