Healthcare Provider Details

I. General information

NPI: 1083960918
Provider Name (Legal Business Name): HELEN LOEFFLER CNM, CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WASHINGTON AVE STE 414
TOWSON MD
21204-4763
US

IV. Provider business mailing address

200 WASHINGTON AVE STE 414
TOWSON MD
21204-4763
US

V. Phone/Fax

Practice location:
  • Phone: 443-293-0290
  • Fax: 443-214-0470
Mailing address:
  • Phone: 443-293-0290
  • Fax: 443-214-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR210363
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR210363
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: