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

Nathan Shane Guillermo, SO-IDC

Individual provider Independent Duty Corpsman · NPI 1285366971

Nathan Shane Guillermo, SO-IDC is an Independent Duty Corpsman in FPO, Armed Forces Pacific. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Bravo 3 3D Recon Bn Unit 36180
FPO, AP 96389-6180
Phone: (915) 539-5753

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 07219916NG

Record details

NPI number1285366971
Entity typeIndividual (Type 1)
GenderMale
Credentials SO-IDC
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJune 30, 2022
Certification dateJune 21, 2022

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