Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Delorrian Bobo

Individual provider Licensed Practical Nurse · NPI 1003748393

Delorrian Bobo is a Licensed Practical Nurse in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

2430 Martin Ave SE
Grand Rapids, MI 49507-3541
Phone: (832) 316-1617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703132129 (MI)

Record details

NPI number1003748393
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address2430 Martin Ave Se, Grand Rapids, MI 49507-3541

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