Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Wilson, CRNP

Individual provider Family Nurse Practitioner · NPI 1770155343

Kathryn Wilson, CRNP is a Nurse Practitioner in Cambridge, Maryland. Qualified in 2020, 6 years ago. Practices with Miles River Primary Care LLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

618 Sunburst Hwy
Cambridge, MD 21613-2546
Phone: (667) 372-0228
Fax: (410) 822-9513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 — (410) 822-9133

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R211652 (MD)

Record details

NPI number1770155343
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Miles River Primary Care Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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