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ROEBUCKDERM LLC
NPI 1750779708
Nurse Practitioner in West Bloomfield, MI

Active since December 29, 2014
5807 W MAPLE RD STE 171, WEST BLOOMFIELD, MI 48322(248) 932-2607 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roebuckderm Llc NPPES

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

ROEBUCKDERM LLC (NPI 1750779708) is a healthcare organization registered as a nurse practitioner in West Bloomfield, Michigan and active in the NPI registry since December 2014. The organization lists Heather Roebuck, President, as its authorized official.

NPPES Registry Identity

NPI1750779708
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameROEBUCKDERM LLC
Location Address5807 W MAPLE RD STE 171West Bloomfield, MI 48322-4483
Mailing Address5807 W Maple Rd Ste 171West Bloomfield, MI 48322-4483 · (248) 932-2607
Phone(248) 932-2607
Organization SubpartNo
Authorized OfficialHeather RoebuckPresident · (248) 932-2607
Enumeration DateDecember 29, 2014
✔ NPI 1750779708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4301065408
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5807 W MAPLE RD STE 171, West Bloomfield, MI 48322
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Roebuckderm LLC's NPI number?

The NPI number for Roebuckderm LLC is 1750779708. It was assigned to this organization in the NPPES registry on December 29, 2014.

Where is Roebuckderm LLC located?

Roebuckderm LLC is located at 5807 W Maple Rd Ste 171, West Bloomfield, MI 48322. The listed phone number is (248) 932-2607.

What is Roebuckderm LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Roebuckderm LLC was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.