Degroot, Tina Marie

Degroot, Tina Marie is an individual health care provider with primary practice located at 515 22Nd Ave , Monroe WI 53566-1569. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Degroot, Tina Marie can be contacted via phone (608) 324-2000.

Contact Information

Primary practice address
515 22Nd Ave Monroe WI 53566-1569
Phone: (608) 324-2000
Fax: (920) 965-7412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X 358909 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3554-33 Wisconsin

Profile Details

NPI number 1346327392
LBN Legal business name Degroot, Tina Marie
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 17th, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346327392 NPPES
Wisconsin MEDICAID 38219400

Popular Providers