IndividualActive
Colton Conrad
NPI 1619847712 · Basic Emergency Medical Technician · Phoenix, AZ
Provider details
- NPI number
- 1619847712
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AZ00017866 (AZ)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
2530 E Shangri La Rd
Phoenix, AZ 85028-2543
Phone: (480) 353-8583
Approximate (ZIP-level) locationGet directions
Mailing address
2530 E Shangri La Rd
Phoenix, AZ 85028-2543
Registry dates
- Enumerated
- 2025-11-05
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.