Healthcare Provider Details

I. General information

NPI: 1700683257
Provider Name (Legal Business Name): DONNA BASLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 03/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 8TH STREET PO BOX 428
CERESCO NE
68017
US

IV. Provider business mailing address

316 8TH STREET PO BOX 428
CERESCO NE
68017
US

V. Phone/Fax

Practice location:
  • Phone: 402-432-6227
  • Fax:
Mailing address:
  • Phone: 402-432-6227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number StateNE

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: