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Tina Dibofo

Nurse Practitioner, Psych/Mental Health in Novi, MI. Individual provider (NPI-1).

NPI number1184571069
StatusActive
Last updated in NPPESMar 18, 2026

Details

NPI
1184571069
Entity type
Individual (NPI-1)
Name
Tina Dibofo
Sex
Female
Sole proprietor
No
Enumeration date
Mar 11, 2026
Certification date
Mar 18, 2026
Last updated
Mar 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health209034913ILYes

Practice location

39465 W 14 Mile Rd
Novi, MI 48377-1600

Phone 877-906-9699

Mailing address

39465 W 14 Mile Rd
Novi, MI 48377-1600

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Other Psychiatric/Mental Health Nurse Practitioner providers in Novi, MI

All 19 Psychiatric/Mental Health Nurse Practitioner providers in Novi · All 8,418 providers in Novi

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