MR. TREVOR JOHNSON

Nurse Practitioner - Primary Care

Active Individual
NPI: 1669347951

Practice Address

367 E MAIN ST STE A
Waterloo, NY 13165

Phone: (315) 787-4977

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X Yes F357797-01 (NY)

Frequently Asked Questions

NPI 1669347951 is the National Provider Identifier for MR. TREVOR JOHNSON, a Nurse Practitioner - Primary Care provider located in Waterloo, NY. This NPI was enumerated on October 7, 2025.
MR. TREVOR JOHNSON practices at 367 E MAIN ST STE A, Waterloo, NY 13165.

Quick Facts

NPI
1669347951
Type
Individual
Enumerated
Oct 7, 2025
Last Updated
Oct 7, 2025

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