Valorie Clouse

Individual provider Active NPI Nurse Practitioner · Decatur, IN

NPI 1013424035 · NPPES record last updated Mar 21, 2018

Key facts

NPI
1013424035
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
71007858A (IN)
Practice address
1100 Mercer Ave
Decatur, IN 46733-2303
Phone
(260) 724-2145
Fax
(260) 724-2145
NPI assigned
Dec 29, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
28190664AINMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 28190664A IN
Nurse Practitioner 363L00000X 71007858A IN Yes

Addresses

Primary practice location

1100 Mercer Ave
Decatur, IN 46733-2303

Mailing address

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145

Other providers in Decatur, IN

All providers in Decatur, IN · Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.