Individual provider · Type 1 NPI

Tatum Nicole Rose

Emergency Registered Nurse · South Bend, IN

NPI number 1811865587 Active

Practice location

615 N Michigan St
South Bend, IN 46601-1033

Call (574) 647-7459 Map

Mailing address

1319 Emerald Dr
Niles, MI 49120-4524

Specialties and licenses

Taxonomy	Code	License
Emergency Registered Nurse Primary	163WE0003X	28254591A (IN)

Emergency Registered Nurse: Definition to come...

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About NPI 1811865587

Tatum Nicole Rose's National Provider Identifier is 1811865587, issued on Oct 25, 2025. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in South Bend, IN. The record was last updated on Oct 25, 2025.