Healthcare Provider Details

I. General information

NPI: 1093276735
Provider Name (Legal Business Name): CAROLINE QUINN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINE SCHIEBER

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 TYSONS BLVD STE 300
MC LEAN VA
22102-4285
US

IV. Provider business mailing address

4769 SAGO PALM CIR
PACE FL
32571-1425
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-272-7176
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number0110008924
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA200002249
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110008924
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: