Healthcare Provider Details

I. General information

NPI: 1841114287
Provider Name (Legal Business Name): PATIENCE QUILEA SCHULTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18415 COMUS RD
DICKERSON MD
20842-9622
US

IV. Provider business mailing address

18415 COMUS RD
DICKERSON MD
20842-9622
US

V. Phone/Fax

Practice location:
  • Phone: 301-549-9486
  • Fax: 301-549-9486
Mailing address:
  • Phone: 301-549-9486
  • Fax: 301-549-9486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR239941
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: