Individual provider · Type 1 NPI
Tyler A. Cornell, IDC
Independent Duty Corpsman · Camp Lejeune, NC
Practice location
Psc 20090
Camp Lejeune, NC 28542-0090
Mailing address
120 Walnut Hills Dr
Richlands, NC 28574-8346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | 1215693759 |
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 1215693759
Tyler A. Cornell, IDC's National Provider Identifier is 1215693759, issued on Nov 9, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Lejeune, NC. The record was last updated on Oct 24, 2023.