Individual provider · Type 1 NPI

Colton Ryan Conrad

Basic Emergency Medical Technician · Phoenix, AZ

NPI number 1619847712 Active

Practice location

19601 N Black Canyon Hwy Ste 101
Phoenix, AZ 85027-4107

Mailing address

PO Box 740780
Atlanta, GA 30374-0780

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician Primary 146N00000XAZ00017866 (AZ)
Behavior Technician 106S00000XNone listed

Basic Emergency Medical Technician: A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

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About NPI 1619847712

Colton Ryan Conrad's National Provider Identifier is 1619847712, issued on Nov 5, 2025. The primary taxonomy on file is Basic Emergency Medical Technician (146N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 16, 2026.