Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Maeve Dornan, BA, QIDP

Individual provider Case Manager/Care Coordinator · NPI 1083324669

Tara Maeve Dornan, BA, QIDP is a Case Manager/Care Coordinator in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1083324669
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , QIDP
Sole proprietorYes
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022

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