Theresa J Baseley, NP
NPI #1043279805 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1043279805
- Entity Type
- Individual
- Name
- Theresa J Baseley, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Mar 21, 2006
- Last Updated
- Nov 22, 2021
Practice Location
- Address
- 210 WISCONSIN AMERICAN DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-2999
- Phone
- (920) 907-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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