Anisa Philia Nervais
Nurse Practitioner, Family in Bronx, NY. Individual provider (NPI-1).
NPI number1023625639
StatusActive
Last updated in NPPESNov 11, 2020
Details
- NPI
- 1023625639
- Entity type
- Individual (NPI-1)
- Name
- Anisa Philia Nervais
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2020
- Certification date
- Nov 11, 2020
- Last updated
- Nov 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F346925 | NY | Yes |
Practice location
2015 Grand ConcourseBronx, NY 10453-4303
Phone 718-299-7295 · Fax 718-299-6797
Mailing address
1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507
Phone 718-618-0401 · Fax 347-479-1303
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