Individual
KARA DE GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(000) 000-0000
Mailing address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
129655
IA
363L00000X
Nurse Practitioner
Primary
7466
MN
Other
Enumeration date
07/27/2012
Last updated
12/01/2020
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