Individual
TREVOR MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-6400
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.1000006-NP
CO
Other
Enumeration date
10/03/2024
Last updated
12/23/2024
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