Provider Demographics
NPI:1033834031
Name:VERMIGLIO, ANTONI (RN)
Entity Type:Individual
Prefix:
First Name:ANTONI
Middle Name:
Last Name:VERMIGLIO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:TERESE
Other - Last Name:DLOBIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2054 S 102ND ST APT 331
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-1340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2054 S 102ND ST APT 331
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-1340
Practice Address - Country:US
Practice Address - Phone:414-702-4742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI229547-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse