Healthcare Provider Details

I. General information

NPI: 1366723512
Provider Name (Legal Business Name): TARYN E LLOYD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TARYN E SEKULA

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8114 SANDPIPER CIR STE 100
BALTIMORE MD
21236-5901
US

IV. Provider business mailing address

118 WASHINGTON ST
HARRISBURG PA
17104-1677
US

V. Phone/Fax

Practice location:
  • Phone: 410-933-8101
  • Fax: 410-933-8106
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAC008306
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: