Individual provider · Type 1 NPI

Nicholas Farris, SOIDC

Independent Duty Corpsman · Camp Pendleton, CA

NPI number 1275113128 Active

Practice location

4101 Stuart Mesa Road
Camp Pendleton, CA 92055

Mailing address

1st Reconnaissance Battalion, Psc Box 555584, 4101 Stuart Mesa Road
Camp Pendleton, CA 92055

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 1275113128

Nicholas Farris, SOIDC's National Provider Identifier is 1275113128, issued on Apr 13, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Pendleton, CA. The record was last updated on Apr 13, 2021.