Healthcare Provider Details

I. General information

NPI: 1679961288
Provider Name (Legal Business Name): ELIZABETH SCHEUERMAN CRNP IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CRAIN HWY S
GLEN BURNIE MD
21061-3645
US

IV. Provider business mailing address

400 CRAIN HWY S
GLEN BURNIE MD
21061-3645
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-5431
  • Fax: 442-274-4784
Mailing address:
  • Phone: 410-777-5431
  • Fax: 443-274-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR186093
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberR186093
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: