TATUM NICOLE ROSE NPI 1811865587

NPI Information

  • NPI: 1811865587
  • Provider Name: TATUM NICOLE ROSE
  • Classification: Registered Nurse - 163WE0003X
  • Specialization: Emergency
  • Entity Type: Individual
  • Address: 615 N MICHIGAN ST
    SOUTH BEND, IN
    ZIP 46601
  • Phone: (574) 647-7459

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NPI Details

Tatum Nicole Rose is an emergency registered nurse in South Bend, IN. Tatum Nicole Rose NPI is 1811865587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 N MICHIGAN ST
SOUTH BEND, IN
ZIP 46601-033
Phone: (574) 647-7459

The enumeration date for this NPI number is 10/25/2025 and was last updated on 10/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WE0003XRegistered NurseEmergency28254591AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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