BRIAN PERVIS

WOODBRIDGE, CT
NPI1174939839
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CT  5745)
Enumeration Date2014-07-02
Last Update Date2022-02-12
Business Address
BRIAN PERVIS APRN
1 BRADLEY RD STE 505
WOODBRIDGE, CT 06525-2292
Phone number: 203-693-1164
Mailing Address
BRIAN PERVIS APRN
304 S JONES BLVD # 1060
LAS VEGAS, NV 89107-2623
Phone number: 203-693-1164