person
Nolan Andrew Ellis, DIVEIDC
Independent Duty Corpsman in San Diego, California
NPI 1174019046

Nolan Andrew Ellis is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Nolan Andrew Ellis practices in San Diego, CA and has the professional credentials of DIVEIDC. The NPI Number for Nolan Andrew Ellis is 1174019046 and holds a License No. (California).

The current practice location address for Nolan Andrew Ellis is 3156 Salmon St, San Diego, CA and can be reached out via phone at 859-802-9800.

Location: 3156 Salmon St, San Diego, CA, 92124-3616
person
Provider Profile Details
NPI Number
1174019046
Provider Name
Nolan Andrew Ellis
Credential
DIVEIDC
Provider Entity Type
Individual
Gender
Male
Address
3156 Salmon St, San Diego, CA, 92124-3616
Phone Number
859-802-9800
Fax Number
Provider Enumeration Date
07/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3156 Salmon St
City
State
Zip
92124-3616
Phone Number
859-802-9800
Fax Number
person
Provider Business Mailing Address Details
Address
3156 Salmon St
City
State
Zip
92124-3616
Phone Number
859-802-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
License No.
()
Definition
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 other supporting forces such as contractors and foreign nationals.
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