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Individual

MS. LIBERTY ANNE CLOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP

Contact information

Practice address
6401 PRAIRIE ST, NORTON SHORES, MI 49444-7840
(231) 724-7800
Mailing address
15055 155TH AVE, GRAND HAVEN, MI 49417-9511
(616) 204-1118

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704223230
MI

Other

Enumeration date
05/19/2019
Last updated
12/30/2025
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