Healthcare Provider Details

I. General information

NPI: 1669306601
Provider Name (Legal Business Name): GREATER BALTIMORE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 N CHARLES ST
TOWSON MD
21204-6881
US

IV. Provider business mailing address

6701 N CHARLES ST
TOWSON MD
21204-6881
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-2000
  • Fax:
Mailing address:
  • Phone: 443-849-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: SHANNON LYNCH
Title or Position: NURSE ANESTHETIST
Credential: CRNA
Phone: 443-849-2000