Healthcare Provider Details

I. General information

NPI: 1760313225
Provider Name (Legal Business Name): ELIZABETH ANN SCHUEDDIG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 AUTH RD STE 203
SUITLAND MD
20746-4339
US

IV. Provider business mailing address

5211 AUTH RD STE 203
SUITLAND MD
20746-4339
US

V. Phone/Fax

Practice location:
  • Phone: 202-257-6632
  • Fax: 240-465-0163
Mailing address:
  • Phone: 202-257-6632
  • Fax: 240-465-0163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: