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Individual
NORA A DEGROOTE
Active
Individual
NORA A DEGROOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6057-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174927248
—
WI
Enumeration date
10/17/2014
Last updated
07/15/2016
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