# AUDRA JOY DEGROOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427321496
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | R206041-7 | MN | — |
| 367A00000X | Advanced Practice Midwife | B161310 | IA | Yes |
| 367A00000X | Advanced Practice Midwife | CM000055 | SD | — |

## Other

- **Enumeration date:** 02/21/2012
- **Last updated:** 02/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6540373 | — | SD |