Degroot, Audra Joy

Degroot, Audra Joy is an individual health care provider with primary practice located at 33 4Th St Nw , Sioux Center IA 51250-1870. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Degroot, Audra Joy can be contacted via phone (712) 722-1700.

Contact Information

Primary practice address
33 4Th St Nw Sioux Center IA 51250-1870
Phone: (712) 722-1700
Fax: (712) 722-1770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X R206041-7 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CM000055 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X B161310 Iowa

Profile Details

NPI number 1427321496
LBN Legal business name Degroot, Audra Joy
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2012
Last updated Feb 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427321496 NPPES
South Dakota MEDICAID 6540373

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