Healthcare Provider Details

I. General information

NPI: 1871403774
Provider Name (Legal Business Name): RYAN MICHAEL WILKINSON NREMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 APPLEBY SCHOOL RD
CAMBRIDGE MD
21613-2958
US

IV. Provider business mailing address

330 APPLEBY SCHOOL RD
CAMBRIDGE MD
21613-2958
US

V. Phone/Fax

Practice location:
  • Phone: 410-845-3868
  • Fax:
Mailing address:
  • Phone: 410-845-3868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number2057508
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: