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Individual

DEBRA KAY DEGROOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
2297 SKYVIEW ST, GREEN BAY, WI 54311-6000
(920) 366-2458

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10881-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
10881
WI
363LG0600X
Gerontology Nurse Practitioner
10881
WI

Other

Enumeration date
09/07/2021
Last updated
01/12/2022
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