Provider Demographics
NPI:1437488434
Name:PEREIRA, JANICE G (APRN)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:G
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-4400
Mailing Address - Country:US
Mailing Address - Phone:203-974-5900
Mailing Address - Fax:203-974-5905
Practice Address - Street 1:270 CENTER ST
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-4400
Practice Address - Country:US
Practice Address - Phone:203-974-5900
Practice Address - Fax:203-974-5905
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4257363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health