Organization
NSL CENTER FOR PRIMARY CARE LLC
Active
Organization
NSL CENTER FOR PRIMARY CARE LLC
Active
Other names
NSL Centre for Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON PERVIS SR. APRN (NURSE PRACTITIONER)
(203) 628-2394
Entity
Organization
Contact information
Practice address
83 WOOSTER HTS STE 125, DANBURY, CT 06810-7550
(203) 957-3938
Mailing address
33 DIXWELL AVE STE 278, NEW HAVEN, CT 06511-3403
(203) 957-3938
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
5748
CT
261QP2300X
Primary Care Clinic/Center
5748
CT
261QP3300X
Pain Clinic/Center
5748
CT
Other
Enumeration date
05/10/2017
Last updated
11/04/2021
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