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Individual

BRIAN PERVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1 BRADLEY RD STE 505, WOODBRIDGE, CT 06525-2292
(203) 693-1164
(203) 446-5599
Mailing address
304 S JONES BLVD # 1060, LAS VEGAS, NV 89107-2623
(203) 693-1164
(888) 475-7210

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5745
CT

Other

Enumeration date
07/02/2014
Last updated
02/12/2022
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