Individual
DANIELLE LEA DEGROOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1513 N 6TH 1/2 ST, TERRE HAUTE, IN 47807-1039
(812) 238-7631
(812) 238-7003
Mailing address
1513 N 6TH 1/2 ST, TERRE HAUTE, IN 47807-1039
(812) 238-7631
(812) 238-7003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003727A
IN
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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