STEPHANIE NICOLE CONN IDC
NPI 1275245599
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA
- Individual
- Female
- Military Health Care Provider
- Independent Duty Corpsman
About STEPHANIE CONN
This page provides the complete NPI Profile along with additional information for Stephanie Conn, a provider established in San Diego, California 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 1275245599 assigned on December 2022. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1275245599 Verify this NPI
- Provider Name
- STEPHANIE NICOLE CONN IDC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 34101 FARENHOLT AVE SAN DIEGO, CA 92134
- Location Phone
- (330) 313-5006
- Mailing Address
- 1415 2ND ST APT E104 CORONADO, CA 92118
- Mailing Phone
- (330) 313-5006
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2022
- Last Update Date
- 04-26-2023
- Code Navigator
Location Map
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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SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
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SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275245599, enumerated as an "individual" on December 19, 2022.
The provider is located at 34101 FARENHOLT AVE SAN DIEGO, CA 92134 and the phone number is (330) 313-5006.
Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.
