Provider Demographics
NPI:1831426030
Name:HUGHLETT, VICKIE LYNN (LPN)
Entity type:Individual
Prefix:MS
First Name:VICKIE
Middle Name:LYNN
Last Name:HUGHLETT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7439 N 86TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-4051
Mailing Address - Country:US
Mailing Address - Phone:414-841-4639
Mailing Address - Fax:
Practice Address - Street 1:7439 N 86TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-4051
Practice Address - Country:US
Practice Address - Phone:414-841-4639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI309571-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse