ANDREW M NULL
NPI 1205790375
Military Health Care Provider - Independent Duty Medical Technicians in Cannon Afb, NM

Active since December 12, 2025
27 SOMDG, 224 WEST D.L. INGRAM AVE, BLDG. 1408, CANNON AFB, NM 88103(575) 784-2778 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 27, 2026, Jan 28, 2026, Dec 12, 2025 (3 updates tracked since 2025).

About Andrew M Null NPPES

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

ANDREW M NULL (NPI 1205790375) is an individual independent duty medical technicians provider in Cannon Afb, New Mexico and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1205790375
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameANDREW M NULL
Location Address27 SOMDG, 224 WEST D.L. INGRAM AVE, BLDG. 1408Cannon Afb, NM 88103
Mailing Address27 Somdg, 224 West D.l. Ingram Ave, Bldg. 1408Cannon Afb, NM 88103
Sole ProprietorNo
Enumeration DateDecember 12, 2025
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1205790375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
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.

27 SOMDG, Cannon Afb, NM 88103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205790375, enumerated as an "individual" on December 12, 2025.

The provider is located at 27 SOMDG 224 WEST D.L. INGRAM AVE, BLDG. 1408 CANNON AFB, NM 88103 and the phone number is (575) 784-2778.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.