Individual provider · Type 1 NPI

Neilrose Laciste Gervacio, IDC

Independent Duty Corpsman · Fpo, AP

NPI number 1063460210 Active

Practice location

Camp Schwab Bmc, 3D Med Bn, 3D Mlg, C Co
Fpo, AP 96604

Mailing address

Psc 557 Box 2631
Fpo, AP 96379

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1063460210

Neilrose Laciste Gervacio, IDC's National Provider Identifier is 1063460210, issued on May 4, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AP. The record was last updated on Jul 13, 2026.