Individual
MRS. MARY MEGAN CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NNP
Contact information
Practice address
22101 MOROSS RD, NICU 5TH FLOOR CCB, DETROIT, MI 48236-2148
(313) 343-3497
Mailing address
506 CHERRY AVE, ROYAL OAK, MI 48073-4044
(248) 589-9973
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704173381
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
4704173381
MI
Other
Enumeration date
12/22/2006
Last updated
09/11/2025
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