NPI 1003748393

Delorrian Bobo

Practitioner Licensed Practical Nurse Grand Rapids, MI

Practice location

Address: 2430 Martin Ave SE, Grand Rapids, MI 49507-3541
Phone: (832) 316-1617

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703132129 (MI)

Other Licensed Practical Nurse providers in Michigan →

Registry record

NPI: 1003748393
Entity type: Individual
Sex (as registered): X
NPI issued: 1 Jun 2026
Record last updated: 1 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.