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Anisa Philia Nervais

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453-4303

PECOS Enrollment

This provider is enrolled in PECOS as ANISA NERVAIS.

Based on the most recent information from CMS, provider Anisa Philia Nervais is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1023625639
Provider Type
Individual
Full Name
Nervais, Anisa Philia
Gender
Female

Sole Proprietor
No
Enumeration Date
9/28/2020
Last Updated
11/11/2020

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453-4303

(718) 299-7295

(718) 299-6797

Mailing Location

1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507

(718) 618-0401

(347) 479-1303

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F346925 New York

Anisa Philia Nervais

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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