Individual provider · Type 1 NPI
Desirae Nichole Alsum
Nurse Practitioner · Fond Du Lac, WI
Practice location
430 E Division St
Fond Du Lac, WI 54935-4560
Mailing address
812 Madison St
Beaver Dam, WI 53916-2622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06240136 (WI) |
| Nurse Practitioner Primary | 363L00000X | 15506 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1912748401
Desirae Nichole Alsum's National Provider Identifier is 1912748401, issued on Jun 6, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jul 15, 2024.