Individual provider · Type 1 NPI

Tatum Trathen

Pediatric Nurse Practitioner · Phoenix, AZ

NPI number 1144055252 Active

Practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X23766231 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1144055252

Tatum Trathen's National Provider Identifier is 1144055252, issued on Sep 6, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 14, 2026.