MS. Desirae Nichole Alsum
NPI #1912748401 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1912748401
- Entity Type
- Individual
- Name
- MS. Desirae Nichole Alsum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 6, 2024
- Last Updated
- Jul 15, 2024
Practice Location
- Address
- 430 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4560
- Phone
- (920) 926-4720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
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