Healthcare Provider Details

I. General information

NPI: 1538781281
Provider Name (Legal Business Name): DEVAN SCHOELLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 CLINTON ST
WEST SENECA NY
14224-1697
US

IV. Provider business mailing address

5350 WILLOW LAKE DR
CLARENCE NY
14031-1228
US

V. Phone/Fax

Practice location:
  • Phone: 716-677-3620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: