Individual provider · Type 1 NPI

Megan Virginia Demallie

Family Nurse Practitioner · Southfield, MI

NPI number 1376133470 Active

Practice location

29877 Telegraph Rd
Southfield, MI 48034-1332

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704325132 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1376133470

Megan Virginia Demallie's National Provider Identifier is 1376133470, issued on Jan 22, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Sep 7, 2021.