Individual provider · Type 1 NPI

Trevor Johnson

Ambulatory Care Registered Nurse · Tomah, WI

NPI number 1104754274 Active

Practice location

500 E Veterans St
Tomah, WI 54660-3105

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X2358420 (MN)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1104754274

Trevor Johnson's National Provider Identifier is 1104754274, issued on May 11, 2026. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Tomah, WI. The record was last updated on May 11, 2026.