AMANDA NICOLE LARSON IDC
NPI 1487955316
Military Health Care Provider - Independent Duty Corpsman in Wahiawa, HI

Q: What is Amanda Larson's NPI number?

The NPI number for Amanda Larson is 1487955316. It was assigned to this individual provider in the NPPES registry on November 9, 2010. The provider is also known as Amanda Nicole Daniels Idc.

Q: What is Amanda Larson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Larson was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2010

500 CENTER ST, BUILDING 22, WAHIAWA, HI 96786(228) 760-0296 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Nicole Larson Idc NPPES

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

AMANDA NICOLE LARSON IDC (NPI 1487955316) is an individual independent duty corpsman provider in Wahiawa, Hawaii and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1487955316

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameAMANDA NICOLE LARSONCredential: IDC

Location Address500 CENTER ST, BUILDING 22Wahiawa, HI 96786-3007

Mailing Address500 Center St, Building 22Wahiawa, HI 96786-3007 · (228) 760-0296

Phone(228) 760-0296

Sole ProprietorNo

Enumeration DateNovember 9, 2010

Last NPPES UpdateApril 21, 2014

✔ NPI 1487955316 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.

500 CENTER ST, Wahiawa, HI 96786

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Other Names 1

Former Name (1)Amanda Nicole Daniels Idc

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 Amanda Larson's NPI number?

The NPI number for Amanda Larson is 1487955316. It was assigned to this individual provider in the NPPES registry on November 9, 2010. The provider is also known as Amanda Nicole Daniels Idc.

Where is Amanda Larson located?

Amanda Larson practices at 500 Center St Building 22, Wahiawa, HI 96786. The listed phone number is (228) 760-0296.

What is Amanda Larson'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 Amanda Larson was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.