Vicki Lynn Aho

Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Appleton, WI

NPI 1003449596 · NPPES record last updated Sep 13, 2024

Key facts

NPI
1003449596
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License
127957-30 (WI)
Practice address
5471 W Waterford LN
Appleton, WI 54913-8510
Phone
(920) 731-7445
Fax
(920) 731-7490
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
127957-30WIMDAddiction (Substance Use Disorder) Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 127957-30 WI Yes

Addresses

Primary practice location

5471 W Waterford LN
Appleton, WI 54913-8510

Mailing address

5337 W Grande Market Dr
Appleton, WI 54913-8442
Phone (920) 731-7445

Other providers in Appleton, WI

All providers in Appleton, WI · Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.