DELORRIAN BOBO
NPI 1003748393
Licensed Practical Nurse in Grand Rapids, MI

Q: What is Delorrian Bobo's NPI number?

The NPI number for Delorrian Bobo is 1003748393. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Q: What is Delorrian Bobo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Delorrian Bobo was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2026

2430 MARTIN AVE SE, GRAND RAPIDS, MI 49507(832) 316-1617 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Delorrian Bobo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELORRIAN BOBO (NPI 1003748393) is an individual licensed practical nurse in Grand Rapids, Michigan, licensed in Michigan (4703132129) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1003748393

Entity TypeIndividual

Primary Taxonomy164W00000X

Provider Legal NameDELORRIAN BOBO

Location Address2430 MARTIN AVE SEGrand Rapids, MI 49507-3541

Mailing Address2430 Martin Ave SeGrand Rapids, MI 49507-3541

Phone(832) 316-1617

Sole ProprietorNo

Enumeration DateJune 1, 2026

NPPES CertifiedJune 1, 2026

✔ NPI 1003748393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703132129

Definition

A licensed practical nurse 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.

2430 MARTIN AVE SE, Grand Rapids, MI 49507

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delorrian Bobo's NPI number?

The NPI number for Delorrian Bobo is 1003748393. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Delorrian Bobo located?

Delorrian Bobo practices at 2430 Martin Ave SE, Grand Rapids, MI 49507. The listed phone number is (832) 316-1617.

What is Delorrian Bobo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Delorrian Bobo was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.