Provider Demographics
NPI:1033709670
Name:VALENT, DEVON
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:VALENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9464 BONNIE BRIAR ST
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-1501
Mailing Address - Country:US
Mailing Address - Phone:248-804-4606
Mailing Address - Fax:
Practice Address - Street 1:9464 BONNIE BRIAR ST
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-1501
Practice Address - Country:US
Practice Address - Phone:248-804-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program