Tara Machleit, LPN
Individual provider Active NPI Licensed Practical Nurse · Stockbridge, MI
NPI 1538548433 · NPPES record last updated May 26, 2015
Key facts
- NPI
- 1538548433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703110627 (MI)
- Practice address
- 3930 Dexter TRL
Stockbridge, MI 49285-9470 - Phone
- (330) 415-4983
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703110627 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703110627 | MI | Yes |
Addresses
Primary practice location
3930 Dexter TRL
Stockbridge, MI 49285-9470
Mailing address
3930 Dexter TRL
Stockbridge, MI 49285-9470
Phone (330) 416-4983
Other providers in Stockbridge, MI
- Hometown Pharmacy Inc
- John Van Tiem D.D.S. P.C.
- Katlin Dunford
- Rachael Sierra Kochis
- Louella'S Loving Hands LLC
- Paul Dobos, DDS, PLLC
- Larry Ernest Porzsolt
- Jamie Rose
- Jessica Marilyn Shaw
- Shannon Sood
All providers in Stockbridge, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.