Individual
BENJAMIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
401 N BROADWAY ST, BALTIMORE, MD 21287-0019
(410) 955-5222
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R245378
MD
Other
Enumeration date
03/23/2026
Last updated
04/27/2026
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