Individual provider · Type 1 NPI
Shayne Tyler Stanley
Independent Duty Corpsman · Port Hueneme, CA
Practice location
2600 Dodson St Ste 3
Port Hueneme, CA 93043-4432
Mailing address
2211 Pacific Beach Dr
San Diego, CA 92109-5626
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…
2 other providers at this address
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- Gregory A. Williams, IDCIndependent Duty Corpsman Port Hueneme, CA NPI 1235478728
- Nickolas Vincent Ponce, IDCIndependent Duty Corpsman Port Hueneme, CA NPI 1265951305
- Fernando Juarez, OTHERIndependent Duty Corpsman Port Hueneme, CA NPI 1275500365
- Joshua William Ross, SFIDCIndependent Duty Corpsman Port Hueneme, CA NPI 1376754242
About NPI 1275007791
Shayne Tyler Stanley's National Provider Identifier is 1275007791, issued on Jan 17, 2019. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Port Hueneme, CA. The record was last updated on Jan 17, 2019.