Dylan Johnson
Student in an Organized Health Care Education/Training Program in Moorhead, MN. Individual provider (NPI-1).
NPI number1033020177
StatusActive
Last updated in NPPESSep 16, 2026
Details
- NPI
- 1033020177
- Entity type
- Individual (NPI-1)
- Name
- Dylan Johnson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2026
- Certification date
- Sep 16, 2026
- Last updated
- Sep 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
1104 7th Ave SMoorhead, MN 56563-0002
Phone 218-457-0052
Mailing address
1104 7th Ave SMoorhead, MN 56563-0002
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in Moorhead, MN
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- Mikaela HarkemaNPI 1003769571
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- Eli Patrick HornNPI 1942111083
All 21 Student in an Organized Health Care Education/Training Program providers in Moorhead · All 1,308 providers in Moorhead
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