MRS. MARIA JACOBA VLACH (NPI# 1194084483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194084483 |
| Entity Type | Individual |
| Full Name | MRS. MARIA JACOBA VLACH |
| Credential | RN |
| Practice Address |
6084 N Eagle Crest Dr Appleton WI 54913-8498 |
| Mailing Address |
6084 N. Eagle Crest Dr Appleton WI 54913-8498 |
| Practice Telephone | 9204280627 |
| Mailing Telephone | 9204280627 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
132933-30 | WI | Nursing Service Providers |
| Street Address |
6084 N EAGLE CREST DR |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871028381 | Andrea Mianecki | Registered Nurse | W7420 Winnegamie Dr, Appleton, WI 54914-8616 | 2017-04-23 |
| 1588016513 | Nicole Hernandez | Registered Nurse | 213 W Calumet St Apt 5, Appleton, WI 54915-4964 | 2016-07-01 |
| 1528456472 | Daisie Hanson | Registered Nurse | 2116 N Birchwood Ave, Appleton, WI 54914-2447 | 2014-12-30 |
| 1144653502 | Olayemi Awosanya | Registered Nurse | 314 W Sunset Ave, Appleton, WI 54911-1135 | 2013-08-20 |
| 1306117866 | Jane M Davis | Registered Nurse | 327 E Marquette St, Appleton, WI 54911-2843 | 2012-01-14 |
| 1356649792 | Kristina Lee Flunker | Registered Nurse | 4030 Towne Lakes Cir, Apt 1305, Appleton, WI 54913-7313 | 2011-03-09 |
| 1346570314 | Thomas Joseph Fuhrmann | Registered Nurse | 1400 Oakcrest Ct, Appleton, WI 54914-5527 | 2010-01-13 |
| 1467406637 | Anne Marie Muza | Registered Nurse | 1652 W Kaylee Ln, Appleton, WI 54913-6704 | 2006-05-20 |
| 1679538458 | Erin Colleen Kuehn | Registered Nurse | 815 S Keller Park Dr, Appleton, WI 54914-8547 | 2006-04-17 |
| 1215906839 | Elaine Laczny | Registered Nurse | 1658 W Kaylee Ln, Appleton, WI 54913-6704 | 2006-03-16 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.