Individual provider · Type 1 NPI

Andrew Azevedo, IDC

Independent Duty Corpsman · Kittery, ME

NPI number 1396268595 Active

Practice location

402 Goodrich Ave
Kittery, ME 03904

Mailing address

402 Goodrich Avenue
Kittery, ME 03904

Other practice locations

  • 159 Trout Ave, Groton, CT 06340 · (860) 694-6450

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 1396268595

Andrew Azevedo, IDC's National Provider Identifier is 1396268595, issued on Jul 19, 2017. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Kittery, ME. The record was last updated on Jul 1, 2025.