Individual provider · Type 1 NPI
Thomas Mark Johnson, RN
General Practice Registered Nurse · Scandinavia, WI
NPI number
1881069862
Active
Practice location
N5733 Gurholt Lake Rd
Scandinavia, WI 54977-9736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 69342-30 (WI) |
General Practice Registered Nurse: Definition to come...
About NPI 1881069862
Thomas Mark Johnson, RN's National Provider Identifier is 1881069862, issued on Dec 2, 2015. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Scandinavia, WI. The record was last updated on Dec 2, 2015.