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Miss Heather Marita Niccoli, HS3
Independent Duty Medical Technicians in Milwaukee, Wisconsin
NPI 1730273038

Heather Marita Niccoli is a Independent Duty Medical Technicians based in West Allis, WI and is specialized in Independent Duty Medical Technicians. Heather Marita Niccoli practices in Milwaukee, WI and has the professional credentials of HS3. The NPI Number for Heather Marita Niccoli is 1730273038 and holds a License No. 1259829 (Wisconsin).

The current practice location address for Heather Marita Niccoli is 2420 S Lincoln Memorial Dr, Milwaukee, WI and can be reached out via phone at 414-747-7110 and via fax at 414-747-7891. You can also correspond with Heather Marita Niccoli through the mailing address at 3431 S 113TH ST APT 3, WEST ALLIS, WI - 53227-3954 (mailing address contact number: 414-747-7110).

Location: 2420 S Lincoln Memorial Dr, Milwaukee, WI, 53227-3954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730273038
Provider Name
Heather Marita Niccoli
Credential
HS3
Provider Entity Type
Individual
Gender
Female
Address
2420 S Lincoln Memorial Dr, Milwaukee, WI, 53227-3954
Phone Number
414-747-7110
Fax Number
414-747-7891
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2420 S Lincoln Memorial Dr
City
Milwaukee
State
Wisconsin
Zip
53207-1902
Phone Number
414-747-7110
Fax Number
414-747-7891
person
Provider Business Mailing Address Details
Address
3431 S 113Th St Apt 3
City
West Allis
State
Wisconsin
Zip
53227-3954
Phone Number
414-747-7110
Fax Number
414-747-7891
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Medical Technicians
Taxonomy
1710I1003X
License No.
1259829 (California)
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
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