| Nsl Centre For Primary Care | |
|
83 Wooster Hts Ste 125 Danbury CT 06810-7550 | |
| (203) 957-3938 | |
| Not Available |
| Full Name | Nsl Centre For Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 Wooster Hts Ste 125, Danbury, Connecticut |
| Authorized Official Name and Position | Brandon Pervis (NURSE PRACTITIONER) |
| Authorized Official Contact | 2036282394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nsl Centre For Primary Care 33 Dixwell Ave Ste 278 New Haven CT 06511-3403 Ph: (203) 957-3938 | Nsl Centre For Primary Care 83 Wooster Hts Ste 125 Danbury CT 06810-7550 Ph: (203) 957-3938 |
| NPI Number | 1275069353 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Medicare PECOS PAC ID | 7810258878 |
|---|---|
| Medicare Enrollment ID | O20180308000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275069353 | NPI | - | NPPES |
| Provider Name | Brian D Pervis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174939839 PECOS PAC ID: 2860619103 Enrollment ID: I20140811002183 |
| Provider Name | Tierra Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063811529 PECOS PAC ID: 3173879004 Enrollment ID: I20181107002350 |
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