Basic Information
| Provider Information | |||||||||
| NPI: | 1982330312 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIEH | ||||||||
| FirstName: | ABIOSEH | ||||||||
| MiddleName: | ERICA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18 CAPANO DR APT B4 | ||||||||
| Address2: | |||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197021875 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7314440866 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5223 W WOODMILL DR STE 41 | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198084068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3025167936 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2022 | ||||||||
| LastUpdateDate: | 07/27/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | LG-0012028 | DE | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.