NATHANIEL BOBB
NPI 1245199215
Registered Nurse - Diabetes Educator in Rockford, MI
Active since January 16, 2026
About Nathaniel Bobb NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL BOBB (NPI 1245199215) is an individual diabetes educator provider in Rockford, Michigan, licensed in Michigan (4704348892) and active in the NPI registry since January 2026.
NPPES Registry Identity
NPI1245199215
Entity TypeIndividualMale
Primary Taxonomy163WD0400X
Provider Legal NameNATHANIEL BOBB
Location Address9793 MYERS LAKE AVE NERockford, MI 49341-9508
Mailing Address9793 Myers Lake Ave NeRockford, MI 49341-9508 · (517) 881-9769
Phone(517) 881-9769
Sole ProprietorYes
Enumeration DateJanuary 16, 2026
NPPES CertifiedJanuary 16, 2026
✔ NPI 1245199215 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in MI · 4704348892
9793 MYERS LAKE AVE NE, Rockford, MI 49341
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245199215, enumerated as an "individual" on January 16, 2026.
The provider is located at 9793 MYERS LAKE AVE NE ROCKFORD, MI 49341 and the phone number is (517) 881-9769.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.