Individual
EMILY KATHLEEN MOUTOUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 N INGALLS ST, ANN ARBOR, MI 48109-2003
(616) 446-8990
Mailing address
35625 ELMIRA ST, LIVONIA, MI 48150-2583
(616) 446-8990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704307321
MI
163WP0200X
Pediatric Registered Nurse
Primary
4704307321
MI
Other
Enumeration date
02/15/2023
Last updated
08/01/2026
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