IndividualActive
Thomas Johnson, RN
NPI 1881069862 · General Practice Registered Nurse · Scandinavia, WI
Provider details
- NPI number
- 1881069862
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 69342-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
N5733 Gurholt Lake Rd
Scandinavia, WI 54977-9736
Phone: (715) 467-2324
Approximate (ZIP-level) locationGet directions
Mailing address
N5733 Gurholt Lake Rd
Scandinavia, WI 54977-9736
Registry dates
- Enumerated
- 2015-12-02
- Last updated
- 2015-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.