Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICK VANDIVER
ActiveNICK VANDIVER is a Peer Specialist healthcare provider located in DETROIT, Michigan. NPI 1124851654 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · DETROIT, MI
Registration Details
- NPI Number
- 1124851654
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2024 (1.7978799688291 yrs)
- Last Updated
- Aug 21, 2024
Practice Information
- Address
-
6821 MEDBURY STDETROIT, MI, 482113317Browse MI providers · Browse ZIP 48211
- Phone
- 3139222222
- Fax
- 8662875710
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| JOHN LEWIS EBERHART | CAC-I | 1043302730 |
| MR. RICARDO JAMES CALHOUN | COUNSELOR | 1811295777 |
| MR. WILLIAM RYDALE ERVIN | — | 1447590971 |
| DERRICK STRANGE | — | 1659792216 |
| MS. STEPHANIE RUTH HAMPTON | — | 1497176051 |
| RENEE FYFE | CPSS & CPRC | 1114348471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.