Search › Michigan › Licensed Practical Nurse
Tara Mallory
NPI 1982563433 · on the registry since 2026
Practice
- Address
- 5705 September Ln
Roscommon, MI 48653 - Phone
- (989) 325-0576
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan