Individual provider · Type 1 NPI

Dylan Johnson

Student in an Organized Health Care Education/Training Program · Moorhead, MN

NPI number 1033020177 Active

Practice location

1104 7th Ave S
Moorhead, MN 56563-0002

Call (218) 457-0052 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033020177

Dylan Johnson's National Provider Identifier is 1033020177, issued on Sep 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moorhead, MN. The record was last updated on Sep 16, 2026.