Individual
MARJORIE ANN CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CEN, SANE-A
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 918-3108
Mailing address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 918-3108
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28249343A
IN
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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