National Provider Identifier
Devan Van Vliet, DO
Devan Van Vliet, DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Niagara Falls, NY and a listed phone number of (484) 554-0096.
Profile Overview
- NPI
- 1720882806
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 01, 2025
- Last Updated
- April 01, 2025
Practice Location
- 621 10Th St
- Niagara Falls, NY 14301-1813
Phone: (484) 554-0096
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1720882806
- Entity Type
- Individual
- Last Name
- Van Vliet
- First Name
- Devan
- Credential
- DO
- Mailing Street Address
- 621 10Th St
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14301-1813
- Mailing Country
- US
- Mailing Phone
- (484) 554-0096
- Practice Street Address
- 621 10Th St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301-1813
- Practice Country
- US
- Practice Phone
- (484) 554-0096
- Enumeration Date
- April 01, 2025
- Last Updated
- April 01, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)