Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TREVOR R JOHNSON
ActiveMR. TREVOR R JOHNSON is a Primary Care Nurse Practitioner healthcare provider located in WATERLOO, New York. NPI 1669347951 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · WATERLOO, NY
Registration Details
- NPI Number
- 1669347951
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2025 (0.88890314686435 yrs)
- Last Updated
- Oct 7, 2025
- License
-
F357797-01 (NY)
Practice Information
- Address
-
367 E MAIN ST STE AWATERLOO, NY, 131651643Browse NY providers · Browse ZIP 13165
- Phone
- 3157874977
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in WATERLOO, NY
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH MARIE SMITH | — | 1730712985 |
| STEPHANIE HUMBERT | — | 1356022560 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.