Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NOLAN ANDREW ELLIS, DIVE IDC
Active Sole ProprietorNOLAN ANDREW ELLIS, DIVE IDC is a Independent Duty Corpsman healthcare provider located in SAN DIEGO, California. NPI 1174019046 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · SAN DIEGO, CA
Registration Details
- NPI Number
- 1174019046
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2018 (8.0978953935129 yrs)
- Last Updated
- Jul 3, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3156 SALMON STSAN DIEGO, CA, 921243616Browse CA providers · Browse ZIP 92124
- Phone
- 8598029800
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MARIO OSWALDO MARTIN | IDC | 1497726525 |
| MR. MICHAEL TAD GARRITSON | IDC | 1598736449 |
| EDWARD J BIGGS | IDC | 1790756641 |
| MR. ALLEN JAMES LAHEIST | IDC | 1871560284 |
| MARK L WILLIAMSON | IDC | 1699743534 |
| ARMANDO GONZALEZ | SFIDC | 1811964844 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.