ROSALEA NELLIE SANDERSON


Address: Psc 455, Box 156, Fpo, GUAM AP
Phone: 6713397118

ROSALEA NELLIE SANDERSON (NPI# 1023202512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023202512
Entity Type Individual
Full Name ROSALEA NELLIE SANDERSON
Credential IDC
Practice Address Psc 455, Box 156
Fpo
GUAM AP
Practice Telephone 6713397118
Mailing Telephone 6713397118
Mailing Fax Number 6713395002
Enumeration Date 2007-08-28
Last Update Date 2008-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address PSC 455, BOX 156
City FPO
State GUAM
Zip Code AP

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy 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.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

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1053955609 Christopher Zartman Military Health Care Provider Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 2019-11-06
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1518525583 William Edward Mcbreen Jr. Military Health Care Provider Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 2019-06-04
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Competitor

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City FPO
Zip Code AP

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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