Individual
LUIS VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Mailing address
8609 2ND AVE STE 404B, SILVER SPRING, MD 20910-3374
(240) 398-3514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12108
CT
Other
Enumeration date
03/29/2016
Last updated
08/28/2023
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