Individual provider · Type 1 NPI
Samuel Jesse Nieves, IDHS
Independent Duty Corpsman · Petaluma, CA
Practice location
599 Tomales Rd
Petaluma, CA 94952-5002
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…
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About NPI 1922815547
Samuel Jesse Nieves, IDHS's National Provider Identifier is 1922815547, issued on Dec 17, 2024. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Petaluma, CA. The record was last updated on Dec 17, 2024.