Mallory Ann McLean
Individual provider Active NPI Emergency Registered Nurse · Plain City, UT
NPI 1619835592 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1619835592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 5572356-3102 (UT)
- Practice address
- 3469 W Bridlewood CT
Plain City, UT 84404-6774 - Phone
- (385) 389-4565
- NPI assigned
- Jan 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 5572356-3102 | UT | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 5572356-3102 | UT | Yes |
Addresses
Primary practice location
3469 W Bridlewood CT
Plain City, UT 84404-6774
Mailing address
3469 W Bridlewood CT
Plain City, UT 84404-6774
Phone (385) 389-4565
Other providers in Plain City, UT
- Jamie Jo Heckert
- Gitzel Iglesias
- Shannette Keeler
- Jesse Stokes Lloyd
- Jeffery Lynn Manning
- Mercury Medical LLC
- Stephanie M Mitchell
- Christina Mae Morris
- Mountain Strong Spine and Performance
- Bobbie Jo Nielsen
All providers in Plain City, UT · Emergency Registered Nurse in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. 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.