Provider Demographics
NPI:1750617536
Name:ANTONCHORGY, FELISA MARIE (APNP)
Entity type:Individual
Prefix:MS
First Name:FELISA
Middle Name:MARIE
Last Name:ANTONCHORGY
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2741 W LAYTON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-2600
Mailing Address - Country:US
Mailing Address - Phone:414-672-8050
Mailing Address - Fax:414-672-1050
Practice Address - Street 1:2741 W LAYTON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-2600
Practice Address - Country:US
Practice Address - Phone:414-672-8050
Practice Address - Fax:414-672-1050
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI3857-33363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care