MRS. LISA MARIE RUDY IDC
NPI 1518173442
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since May 15, 2007
PSC 475 BOX 1, FPO, AP 96350 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa Marie Rudy Idc NPPES

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

MRS. LISA MARIE RUDY IDC (NPI 1518173442) is an individual independent duty corpsman provider in Fpo, AP and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1518173442
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameMRS. LISA MARIE RUDYCredential: IDC
Location AddressPSC 475 BOX 1Fpo, AP 96350
Mailing AddressPsc 475 Box 1693Fpo, AP 96350 · (518) 831-9056
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateApril 20, 2008
NPI 1518173442 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.

Other Providers at the Same Location NPPES 20

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

Optometrist
PSC 475 BOX 1
FPO, AP 96350
Psychologist (Clinical)
PSC 475 BOX 1
FPO, AE 96350
Advanced Practice Midwife
PSC 475 BOX 1
FPO, AP 96350
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
Military Health Care Provider (Independent Duty Corpsman)
PSC 475 BOX 1
FPO, AP 96350
Military Health Care Provider (Independent Duty Corpsman)
PSC 475 BOX 1, USNH YOKOSUKA - FAMILY PRACTICE CLINIC
FPO, AP 96350
Military Health Care Provider (Independent Duty Corpsman)
PSC 475 BOX 1
FPO, AP 96350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518173442, enumerated as an "individual" on May 15, 2007.

The provider is located at PSC 475 BOX 1 FPO, AP 96350 and the phone number is .

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.