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

Mr. Nicolas Shane Gomez, NAVYDIVEIDC

Individual provider Independent Duty Corpsman · NPI 1689933210

Mr. Nicolas Shane Gomez, NAVYDIVEIDC is an Independent Duty Corpsman in Everett, Washington. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

2000 W Marine View Dr Bldg 2202 Psns/imf Dive Locker - Medical
Everett, WA 98207-0001
Phone: (425) 304-5504
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1689933210
Entity typeIndividual (Type 1)
GenderMale
Credentials NAVYDIVEIDC
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESMay 16, 2012

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