Active NPIIndividual provider

Andrew Azevedo, IDC

Military Health Care Provider, Independent Duty Corpsman in Kittery, Maine

NPI Number1396268595
Practice location
402 Goodrich Ave, Kittery, ME 03904
Fax
—
Last updated
July 1, 2025

Andrew Azevedo is a Military Health Care Provider, Independent Duty Corpsman based in Kittery, ME. Andrew Azevedo practices in Kittery, ME and has the professional credentials of IDC. The NPI Number for Andrew Azevedo is 1396268595. The current practice location address for Andrew Azevedo is 402 Goodrich Ave, Kittery, ME 03904 and can be reached out via phone at 207-438-4940.

Provider Profile Details

NPI Number
1396268595
Provider Name
Andrew Azevedo
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
402 Goodrich Ave, Kittery, ME 03904
Phone Number
207-438-4940
Sole Proprietor
No
Provider Enumeration Date
July 19, 2017
Last Update Date
July 1, 2025
Certification Date
June 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
402 Goodrich Ave
Kittery, ME 03904
State
Maine
Zip
03904
Phone Number
207-438-4940
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
402 Goodrich Avenue
Kittery, ME 03904
City
Kittery
State
ME
Zip
03904
Phone Number
619-771-5938

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Military Health Care Provider, Independent Duty Corpsman providers near Kittery, ME

View all Military Health Care Provider, Independent Duty Corpsman providers in Kittery →

Frequently Asked Questions

What is the NPI number of Andrew Azevedo, IDC?

The NPI number of Andrew Azevedo, IDC is 1396268595. It was assigned on July 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Andrew Azevedo, IDC?

Andrew Azevedo, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).

Where does Andrew Azevedo, IDC practice?

The practice location is 402 Goodrich Ave, Kittery, ME 03904. The office can be reached at 207-438-4940 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396268595 directly on the NPPES registry website.

Browse related providers