Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Azevedo, IDC

Individual provider Independent Duty Corpsman · NPI 1396268595

Andrew Azevedo, IDC is an Independent Duty Corpsman in Kittery, Maine. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

402 Goodrich Ave
Kittery, ME 03904
Phone: (207) 438-4940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 159 Trout Ave, Groton, CT 06340 — (860) 694-6450

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1396268595
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESJuly 1, 2025
Certification dateJune 10, 2025
Mailing address402 Goodrich Avenue, Kittery, ME 03904

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