Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatum Nicole Rose

Individual provider Emergency Registered Nurse · NPI 1811865587

Tatum Nicole Rose is an Emergency Registered Nurse in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

615 N Michigan St
South Bend, IN 46601-1033
Phone: (574) 647-7459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 28254591A (IN)

Record details

NPI number1811865587
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2025
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025

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