IMAOBONG IBOKETTE VANDERPOOL NP
NPI 1841849544
Nurse Practitioner - Primary Care in Southfield, MI

Q: What is Imaobong Vanderpool's NPI number?

The NPI number for Imaobong Vanderpool is 1841849544. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Q: What is Imaobong Vanderpool's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since September 05, 2019

17256 ROSELAND BLVD, SOUTHFIELD, MI 48076(248) 388-0881 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Imaobong Ibokette Vanderpool Np NPPES

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

IMAOBONG IBOKETTE VANDERPOOL NP (NPI 1841849544) is an individual primary care provider in Southfield, Michigan, licensed in Michigan (4704313471) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1841849544

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameIMAOBONG IBOKETTE VANDERPOOLCredential: NP

Location Address17256 ROSELAND BLVDSouthfield, MI 48076-2823

Mailing Address17256 Roseland BlvdSouthfield, MI 48076-2823 · (248) 388-0881

Phone(248) 388-0881

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

✔ NPI 1841849544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MI · 4704313471

17256 ROSELAND BLVD, Southfield, MI 48076

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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 Imaobong Vanderpool's NPI number?

The NPI number for Imaobong Vanderpool is 1841849544. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Imaobong Vanderpool located?

Imaobong Vanderpool practices at 17256 Roseland Blvd, Southfield, MI 48076. The listed phone number is (248) 388-0881.

What is Imaobong Vanderpool's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Imaobong Vanderpool was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.