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Contact Information

MICHELE L GERVASE, APRN
64 MAPLE ST STE A
KENT, CT06757-1721
 Phone: 860-419-5925
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for MICHELE L GERVASE · (Female)

NPI # 1467230185
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 09/15/2023
Last updated 07/06/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 176610
  • CT License # F07250255
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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