NPI 1962204560

Nicholas James Housand, SOIDC

Practitioner Independent Duty Corpsman Camp Lejeune, AA

Practice location

Address: 2nd Recon Bldg A-71 Courthouse Rd, Camp Lejeune, AA 28547
Phone: (910) 376-7423
Mailing address: 251 Inverness Dr, Hubert, NC 28539-4601

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1962204560
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2025
Record last updated: 25 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.