ANDREW C WYATT SOIDC
NPI 1134967888
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since July 17, 2024

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew C Wyatt Soidc NPPES

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

ANDREW C WYATT SOIDC (NPI 1134967888) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1134967888
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameANDREW C WYATTCredential: SOIDC
Location Address3D RECON BNFpo, AP 96602-6180
Mailing Address1611 Whistler Woods WayKnoxville, TN 37922-6681 · (865) 621-9183
Sole ProprietorNo
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 9, 2024
NPI 1134967888 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.

3D RECON BN, Fpo, AP 96602

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider
3D RECON BN, UNIT 36180
FPO, AP 96602
Military Health Care Provider (Independent Duty Corpsman)
3D RECON BN, UNIT 36180
FPO, AP 96602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Wyatt's NPI number?

The NPI number for Andrew Wyatt is 1134967888. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Andrew Wyatt located?

Andrew Wyatt practices at 3D Recon Bn, Fpo, AP 96602. The listed phone number is (865) 621-9183.

What is Andrew Wyatt's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrew Wyatt was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.