Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Devan Wayne Vidrine, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972208122

Dr. Devan Wayne Vidrine, MD is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NM)

Record details

NPI number1972208122
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

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