Individual provider · Type 1 NPI

Tara Mulligan

Registered Nurse · Middletown, NY

NPI number 1154930055 Active

Practice location

15 Fortune Road
Middletown, NY 10941

Mailing address

35 Pleasant Dr
Carmel, NY 10512-6419

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X815133-01 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1154930055

Tara Mulligan's National Provider Identifier is 1154930055, issued on Jul 27, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Middletown, NY. The record was last updated on Oct 31, 2025.