Search › Wisconsin › 363L00000X
Theresa Baseley, NP
NPI 1043279805 · on the registry since 2006
Practice
- Address
- 210 Wisconsin American Dr
Fond Du Lac, WI 54937 - Phone
- (920) 907-7000
- Fax
- (920) 907-7012
- Organisation at this address
- Lakeside Neurocare
Aurora Pharmacy Inc
Total Renal Care Inc
Aurora Medical Group, Inc.
Aurora Health Care Ventures IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 72
Additional practice sites
- 723 Park Ridge Ln, North Fond Du Lac, WI
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin