Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Megan Virginia Demallie

Individual provider Family Nurse Practitioner · NPI 1376133470

Megan Virginia Demallie is a Family Nurse Practitioner in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

29877 Telegraph Rd
Southfield, MI 48034-1332
Phone: (248) 354-8003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704325132 (MI)

Record details

NPI number1376133470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021

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