Healthcare Provider Details

I. General information

NPI: 1558206029
Provider Name (Legal Business Name): SHERRY STEINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11438 RED JADE CT
UPPER MARLBORO MD
20774-1586
US

IV. Provider business mailing address

11438 RED JADE CT
UPPER MARLBORO MD
20774-1586
US

V. Phone/Fax

Practice location:
  • Phone: 240-704-3247
  • Fax:
Mailing address:
  • Phone: 240-704-3247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: