Provider Demographics
NPI:1740076835
Name:ALPOUGH, VICKI M
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:M
Last Name:ALPOUGH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3052 BALCONES FAULT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-6409
Mailing Address - Country:US
Mailing Address - Phone:702-236-6158
Mailing Address - Fax:
Practice Address - Street 1:3052 BALCONES FAULT AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-6409
Practice Address - Country:US
Practice Address - Phone:702-236-6158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant