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ERIC LANDRY PROVO
NPI 1407815392
Military Health Care Provider - Independent Duty Corpsman in Norfolk, VA

Active since March 21, 2006
8857 1ST ST STE 400, NORFOLK, VA 23511(757) 445-7256(757) 576-4161 Get Directions Write a Review

NPPES record last updated: October 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric Landry Provo NPPES

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

ERIC LANDRY PROVO (NPI 1407815392) is an individual independent duty corpsman provider in Norfolk, Virginia and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1407815392
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameERIC LANDRY PROVO
Location Address8857 1ST ST STE 400Norfolk, VA 23511-3713
Mailing Address8857 1st St Ste 400Norfolk, VA 23511-3713 · (757) 445-7256 · Fax (757) 576-4161
Phone(757) 445-7256
Fax(757) 576-4161
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateOctober 14, 2009
✔ NPI 1407815392 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.
8857 1ST ST STE 400, Norfolk, VA 23511
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Other Identifiers 1

Other1710I1002XVA · Independent Duty Corpsman

Other Providers at the Same Location NPPES

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

ROBERT C BROWN
Military Health Care Provider (Independent Duty Corpsman)
8857 1ST ST STE 400, DDG CLASSRON-EHSLANT
NORFOLK, VA 23511
Norfolk City (757) 445-7255

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 Eric Provo's NPI number?

The NPI number for Eric Provo is 1407815392. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Eric Provo located?

Eric Provo practices at 8857 1st St Ste 400, Norfolk, VA 23511. The listed phone number is (757) 445-7256.

What is Eric Provo'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 Eric Provo was last updated on October 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.