Healthcare Provider Details

I. General information

NPI: 1639090996
Provider Name (Legal Business Name): TAYLOR LORCHAK KRANTZ CRNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 NORTH POINT RD
BALTIMORE MD
21224-3338
US

IV. Provider business mailing address

12 ASBURY LN
SHREWSBURY PA
17361-1126
US

V. Phone/Fax

Practice location:
  • Phone: 443-216-4800
  • Fax: 443-216-4801
Mailing address:
  • Phone: 717-779-6740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036559
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC009660
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: