NICOLE B. DEROCO – NPI #1629830724
Military Health Care Provider

NICOLE DEROCO is a military health care provider located in SAN DIEGO, CA. NPPES recently assigned the NPI number 1629830724 to NICOLE DEROCO on January 25, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1710I1002X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider specializing in Independent Duty Corpsman

See the complete NPI profile for NICOLE DEROCO below.

NPI Profile for
NICOLE B. DEROCO

NPI Number
1629830724
Created

(about 5 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NICOLE B. DEROCO
Primary location
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone: (619) 532-7968 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1710I1002X
- Military Health Care Provider / Independent Duty Corpsman (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.