Individual provider · Type 1 NPI

Mark Johnston Thayer, RN

Registered Nurse · Verona, WI

NPI number 1861368490 Active

Practice location

1979 Milky Way
Verona, WI 53593-9179

Mailing address

605 Hilltop Dr
Madison, WI 53711-1358

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X238504 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1861368490

Mark Johnston Thayer, RN's National Provider Identifier is 1861368490, issued on Oct 13, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Verona, WI. The record was last updated on Oct 13, 2025.