Provider Demographics
NPI:1831321926
Name:TATUM, PILAR (MSN)
Entity Type:Individual
Prefix:
First Name:PILAR
Middle Name:
Last Name:TATUM
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:PILAR
Other - Middle Name:
Other - Last Name:TATUM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNP
Mailing Address - Street 1:36413 US 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1329
Mailing Address - Country:US
Mailing Address - Phone:727-773-8886
Mailing Address - Fax:727-773-8896
Practice Address - Street 1:36413 US 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1329
Practice Address - Country:US
Practice Address - Phone:727-773-8886
Practice Address - Fax:727-773-8896
Is Sole Proprietor?:No
Enumeration Date:2009-08-22
Last Update Date:2009-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9228275163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse