Individual provider · Type 1 NPI

Tina Dibofo

Psychiatric/Mental Health Nurse Practitioner · Novi, MI

NPI number 1184571069 Active

Practice location

39465 W 14 Mile Rd
Novi, MI 48377-1600

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209034913 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1184571069

Tina Dibofo's National Provider Identifier is 1184571069, issued on Mar 11, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Novi, MI. The record was last updated on Mar 18, 2026.