Individual
JOHN K VERMILYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4590 W 121ST AVE, BROOMFIELD, CO 80020-5666
(303) 439-4544
(303) 439-9363
Mailing address
2550 N. THUNDERBIRD CIRCLE, STE. 303, MESA, AZ 85215-1219
(888) 705-8558
(480) 832-0268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0003609-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98155539
—
CO
Enumeration date
08/04/2006
Last updated
09/13/2017
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