Individual provider · Type 1 NPI
Stephanie Requena
Independent Duty Corpsman · Southwest Harbor, ME
Practice location
184 Clark Point Rd
Southwest Harbor, ME 04679-4414
Mailing address
PO Box 5000
Southwest Harbor, ME 04679-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None 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…
3 other providers at this address
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About NPI 1235801085
Stephanie Requena's National Provider Identifier is 1235801085, issued on Sep 30, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Southwest Harbor, ME. The record was last updated on Sep 30, 2021.