Organization
PERVIS ENTERPRISE LLC
Active
Other names
Integrative Pain and Psych Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D PERVIS APRN (PRESIDENT)
(203) 693-1164
Entity
Organization
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
208VP0000X
Pain Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
02/12/2022
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