NICOLE FREEBORN IDC
NPI 1043776149
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Q: What is Nicole Freeborn's NPI number?

The NPI number for Nicole Freeborn is 1043776149. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Q: What is Nicole Freeborn's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Freeborn was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 13, 2019

34800 BOB WILSON DR, FPO, AP 92134(619) 532-6898 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Freeborn Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE FREEBORN IDC (NPI 1043776149) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1043776149

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameNICOLE FREEBORNCredential: IDC

Location Address34800 BOB WILSON DRFpo, AP 92134

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098

Phone(619) 532-6898

Sole ProprietorNo

Enumeration DateFebruary 13, 2019

✔ NPI 1043776149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

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.

34800 BOB WILSON DR, Fpo, AP 92134

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