Stacey M Aker, RN

Individual provider Active NPI Registered Nurse · Kenosha, WI

NPI 1295082733 · NPPES record last updated Aug 14, 2012

Key facts

NPI
1295082733
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
111092-30 (WI)
Practice address
3523 30TH St
Kenosha, WI 53144-1653
Phone
(262) 654-3273
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
111092-30WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 111092-30 WI Yes

Addresses

Primary practice location

3523 30TH St
Kenosha, WI 53144-1653

Mailing address

3523 30TH St
Kenosha, WI 53144-1653
Phone (262) 654-3273

Other providers in Kenosha, WI

All providers in Kenosha, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.