IndividualActive
Nicole Pennock, IDMT
NPI 1508000225 · Independent Duty Medical Technicians · Mcguire Afb, NJ
Provider details
- NPI number
- 1508000225
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Female
- Sole proprietor
- No
Mailing address
3458 Neely Rd
Mcguire Afb, NJ 08641
Registry dates
- Enumerated
- 2009-04-24
- Last updated
- 2009-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.