Provider Demographics
NPI:1548906241
Name:AUSMER, VICKIE PLASHETTE (MS)
Entity type:Individual
Prefix:
First Name:VICKIE
Middle Name:PLASHETTE
Last Name:AUSMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6919
Mailing Address - Country:US
Mailing Address - Phone:205-296-6054
Mailing Address - Fax:205-848-6074
Practice Address - Street 1:2171 CLEARBROOK RD
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-1566
Practice Address - Country:US
Practice Address - Phone:205-296-6054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide