MEGAN VIRGINIA DEMALLIE
NPI 1376133470
Nurse Practitioner - Family in Southfield, MI

Active since January 22, 2021
29877 TELEGRAPH RD, SOUTHFIELD, MI 48034(248) 354-8003 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2021, Jan 22, 2021 (2 updates tracked since 2021).

About Megan Virginia Demallie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN VIRGINIA DEMALLIE (NPI 1376133470) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704325132) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1376133470
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN VIRGINIA DEMALLIE
Location Address29877 TELEGRAPH RDSouthfield, MI 48034-1332
Mailing Address29877 Telegraph RdSouthfield, MI 48034-1332
Sole ProprietorYes
Enumeration DateJanuary 22, 2021
Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
NPI 1376133470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704325132
29877 TELEGRAPH RD, Southfield, MI 48034

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
29877 TELEGRAPH RD, STE 200
SOUTHFIELD, MI 48034
Counselor
29877 TELEGRAPH RD, SUITE 401
SOUTHFIELD, MI 48034
Plastic Surgery
29877 TELEGRAPH RD, SUITE 107
SOUTHFIELD, MI 48034
Obstetrics & Gynecology (Gynecology)
29877 TELEGRAPH RD, SUITE 302
SOUTHFIELD, MI 48034
Obstetrics & Gynecology
29877 TELEGRAPH RD, 304
SOUTHFIELD, MI 48034
Counselor
29877 TELEGRAPH RD, SUITE 401
SOUTHFIELD, MI 48034
Internal Medicine (Cardiovascular Disease)
29877 TELEGRAPH RD, SUITE 400
SOUTHFIELD, MI 48034
Internal Medicine
29877 TELEGRAPH RD, SUITE 401
SOUTHFIELD, MI 48034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Demallie's NPI number?

The NPI number for Megan Demallie is 1376133470. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Megan Demallie located?

Megan Demallie practices at 29877 Telegraph Rd, Southfield, MI 48034. The listed phone number is (248) 354-8003.

What is Megan Demallie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Megan Demallie was last updated on September 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.