Provider Demographics
NPI:1457943516
Name:INFUSE WELLNESS PLLC
Entity Type:Organization
Organization Name:INFUSE WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARCE-SHEW
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:252-764-0140
Mailing Address - Street 1:139 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28584-9303
Mailing Address - Country:US
Mailing Address - Phone:252-354-2333
Mailing Address - Fax:
Practice Address - Street 1:8700 EMERALD DR STE 24
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-7002
Practice Address - Country:US
Practice Address - Phone:252-354-2333
Practice Address - Fax:252-354-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center