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

Nick Vandiver

Individual provider Peer Specialist · NPI 1124851654

Nick Vandiver is a Peer Specialist in Detroit, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6821 Medbury St
Detroit, MI 48211-3317
Phone: (313) 922-2222
Fax: (866) 287-5710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124851654
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

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