Healthcare Provider Details

I. General information

NPI: 1689154296
Provider Name (Legal Business Name): PIEUR WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2018
Last Update Date: 08/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 I ST NW STE 400E
WASHINGTON DC
20005-3318
US

IV. Provider business mailing address

1300 I ST NW STE 400E
WASHINGTON DC
20005-3318
US

V. Phone/Fax

Practice location:
  • Phone: 202-902-7324
  • Fax: 848-213-0063
Mailing address:
  • Phone: 202-902-7324
  • Fax: 848-213-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IFREKE WILLIAMS
Title or Position: OWNER
Credential: MD
Phone: 202-902-7324