Active NPIOrganization

Pervis Enterprise LLC

Nurse Practitioner, Family in Woodbridge, Connecticut

NPI Number1609382134
Practice location
1 Bradley RD Ste 505, Woodbridge, CT 06525-2292
Fax
203-446-5599
Last updated
February 12, 2022

Pervis Enterprise LLC is a healthcare organization based in Woodbridge, CT. Pervis Enterprise LLC practices in Woodbridge, CT. The NPI Number for Pervis Enterprise LLC is 1609382134. The current practice location address for Pervis Enterprise LLC is 1 Bradley RD Ste 505, Woodbridge, CT 06525-2292 and can be reached out via phone at 203-693-1164 and via fax at 203-446-5599.

Provider Profile Details

NPI Number
1609382134
Provider Name
Pervis Enterprise LLC
Provider Entity Type
Organization
Address
1 Bradley RD Ste 505, Woodbridge, CT 06525-2292
Phone Number
203-693-1164
Fax Number
203-446-5599
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Brian D Pervis, APRN · President · 203-693-1164
Other Names
Integrative Pain And Psych Care (Doing Business As)
Provider Enumeration Date
December 20, 2017
Last Update Date
February 12, 2022
Certification Date
February 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bradley RD Ste 505
Woodbridge, CT 06525-2292
Zip
06525-2292
Phone Number
203-693-1164
Fax Number
203-446-5599
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
304 S Jones Blvd # 1060
Las Vegas, NV 89107-2623
City
Las Vegas
State
NV
Zip
89107-2623
Phone Number
203-693-1164
Fax Number
888-475-7210

License Information

Taxonomy (1)
· 208VP0000X
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pervis Enterprise LLC?

The NPI number of Pervis Enterprise LLC is 1609382134. It was assigned on December 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Pervis Enterprise LLC?

Pervis Enterprise LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Pervis Enterprise LLC practice?

The practice location is 1 Bradley RD Ste 505, Woodbridge, CT 06525-2292. The office can be reached at 203-693-1164 (phone) or 203-446-5599 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609382134 directly on the NPPES registry website.

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