Provider Demographics
NPI:1962677278
Name:VERMILYA, HELEN LOUISE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:LOUISE
Last Name:VERMILYA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BRIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:TOWANDE
Mailing Address - State:PA
Mailing Address - Zip Code:18848-1622
Mailing Address - Country:US
Mailing Address - Phone:570-265-6246
Mailing Address - Fax:570-265-6337
Practice Address - Street 1:4 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:TOWANDE
Practice Address - State:PA
Practice Address - Zip Code:18848-1622
Practice Address - Country:US
Practice Address - Phone:570-265-6246
Practice Address - Fax:570-265-6337
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN160300L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020452380001Medicaid