Individual provider · Type 1 NPI

Imaobong Ibokette Vanderpool, NP

Primary Care Nurse Practitioner · Southfield, MI

NPI number 1841849544 Active

Practice location

17256 Roseland Blvd
Southfield, MI 48076-2823

Call (248) 388-0881 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X4704313471 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1841849544

Imaobong Ibokette Vanderpool, NP's National Provider Identifier is 1841849544, issued on Sep 5, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Southfield, MI. The record was last updated on Sep 5, 2019.