SearchVirginiaIndependent Duty Corpsman

Sandy Green, IDHS

NPI 1679369466 · on the registry since 2025

Practice

Address
4000 Coast Guard Blvd
Portsmouth, VA 23703
Phone
(757) 483-8784
Organisation at this address
U. S. Coast Guard
United States Coast Guard
Us Coast Guard Finance Center
Isc Portsmouth Health Services Division Uscg
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia