Active NPIIndividual provider

Tara Mulligan

Registered Nurse in Middletown, New York

NPI Number1154930055
Practice location
15 Fortune Road, Middletown, NY 10941
Fax
—
Last updated
October 31, 2025

Tara Mulligan is a Registered Nurse based in Middletown, NY. Tara Mulligan practices in Middletown, NY. The NPI Number for Tara Mulligan is 1154930055 and holds a License No. 815133-01 (NY). The current practice location address for Tara Mulligan is 15 Fortune Road, Middletown, NY 10941 and can be reached out via phone at 845-282-0678.

Provider Profile Details

NPI Number
1154930055
Provider Name
Tara Mulligan
Provider Entity Type
Individual
Gender
Female
Address
15 Fortune Road, Middletown, NY 10941
Phone Number
845-282-0678
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2020
Last Update Date
October 31, 2025
Certification Date
October 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Fortune Road
Middletown, NY 10941
Zip
10941
Phone Number
845-282-0678
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
35 Pleasant Dr
Carmel, NY 10512-6419
City
Carmel
State
NY
Zip
10512-6419
Phone Number
845-282-0678

License Information

License Number
815133-01
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tara Mulligan?

The NPI number of Tara Mulligan is 1154930055. It was assigned on July 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Tara Mulligan?

Tara Mulligan is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 815133-01.

Where does Tara Mulligan practice?

The practice location is 15 Fortune Road, Middletown, NY 10941. The office can be reached at 845-282-0678 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154930055 directly on the NPPES registry website.

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