Organization · Type 2 NPI
Pervis Enterprise LLC
Family Nurse Practitioner · Woodbridge, CT
NPI number
1609382134
Active
Practice location
1 Bradley Rd Ste 505
Woodbridge, CT 06525-2292
Fax (203) 446-5599
Mailing address
304 S Jones Blvd # 1060
Las Vegas, NV 89107-2623
Other practice locations
- 228 Meadow St # 402, Waterbury, CT 06702-1807 · (203) 693-1164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine Physician | 208VP0000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Woodbridge
About NPI 1609382134
Pervis Enterprise LLC's National Provider Identifier is 1609382134, issued on Dec 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woodbridge, CT. The record was last updated on Feb 12, 2022.