Individual
VALORIE CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 724-2145
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28190664A
IN
363L00000X
Nurse Practitioner
Primary
71007858A
IN
Other
Enumeration date
12/29/2017
Last updated
03/21/2018
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