Degroote, Nora A
Degroote, Nora A is an individual health care provider with primary practice located at 5433 W Fond Du Lac Ave , Milwaukee WI 53216-1382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Degroote, Nora A can be contacted via phone (414) 277-8900.Contact Information
Primary practice address
5433 W Fond Du Lac Ave
Milwaukee WI 53216-1382
Phone: (414) 277-8900
Fax: (414) 277-8939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 6057-33 | Wisconsin |
Profile Details
| NPI number | 1174927248 |
|---|---|
| LBN Legal business name | Degroote, Nora A |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2014 |
| Last updated | Jul 15th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174927248 | NPPES |
| Wisconsin | MEDICAID | 1174927248 |
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