NICHOLAS ARLO VILLASANA
NPI 1104175157
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, NC

Active since September 06, 2012
403 HUFF DR, JACKSONVILLE, NC 28546(303) 547-6084 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About NICHOLAS VILLASANA

This page provides the complete NPI Profile along with additional information for Nicholas Villasana, a provider established in Jacksonville, North Carolina with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1104175157 assigned on September 2012. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1104175157 Verify this NPI
Provider Name
NICHOLAS ARLO VILLASANA
Gender
Male
Entity Type
Individual
Location Address
403 HUFF DR JACKSONVILLE, NC 28546
Location Phone
(303) 547-6084
Mailing Address
403 HUFF DR JACKSONVILLE, NC 28546
Mailing Phone
(303) 547-6084
Is Sole Proprietor?
No
Enumeration Date
09-06-2012
Last Update Date
09-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104175157, enumerated as an "individual" on September 06, 2012.

The provider is located at 403 HUFF DR JACKSONVILLE, NC 28546 and the phone number is (303) 547-6084.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.