Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRENDA TATUM
Active Sole ProprietorMRS. BRENDA TATUM is a Contractor healthcare provider located in CORONA DE TUCSON, Arizona. NPI 1417117177 is currently active in the NPPES registry. Verify at CMS.
Contractor · CORONA DE TUCSON, AZ
Registration Details
- NPI Number
- 1417117177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2008 (18.141549793262 yrs)
- Last Updated
- Jun 16, 2008
- License
-
811752 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17255 S GOLDEN SUNRISE PLCORONA DE TUCSON, AZ, 856412720Browse AZ providers · Browse ZIP 85641
- Phone
- 5207774551
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.