Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICOLAS SHANE GOMEZ, NAVY DIVE IDC
ActiveIndependent Duty Corpsman · EVERETT, WA
Registration Details
- NPI Number
- 1689933210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2012 (13.997124001109 yrs)
- Last Updated
- May 16, 2012
Practice Information
- Address
-
2000 W MARINE VIEW DRBLDG 2202 PSNS/IMF DIVE LOCKER - MEDICALEVERETT, WA, 982070001Browse WA providers · Browse ZIP 98207
- Phone
- 4253045504
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in EVERETT, WA
| Name | Credential | NPI |
|---|---|---|
| TIM ANDREW COFFEY | IDC | 1487621942 |
| MR. KARL FREDERIC MATOUS | IDC | 1487723532 |
| GARY MATTHEW VIRDELL | IDC | 1154491132 |
| MR. ANDRE MAURICE CARDENAS | IDC | 1326171570 |
| MR. ARMANDO GARZA | I.D.C. | 1306044268 |
| MISS SAMANTHA COLLEEN LANE | IDC | 1144549379 |
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.