person
Mr. Craig Tatom, APN
Family Nurse Practitioner in Salem, Missouri
NPI 1225286347

Craig Tatom is a Family Nurse Practitioner based in Salem, MO and is specialized in Family. Craig Tatom practices in Salem, MO and has the professional credentials of APN. The NPI Number for Craig Tatom is 1225286347 and holds a License No. 128312 (Missouri).

The current practice location address for Craig Tatom is Hwy 72 N Physicians Office Building Ii, Salem, MO and can be reached out via phone at 573-729-6112 and via fax at 573-729-4035.

Location: Hwy 72 N Physicians Office Building Ii, Salem, MO, 65560-0069
person
Provider Profile Details
NPI Number
1225286347
Provider Name
Craig Tatom
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
Hwy 72 N Physicians Office Building Ii, Salem, MO, 65560-0069
Phone Number
573-729-6112
Fax Number
573-729-4035
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128312 01 MO STATE LICENSE
2008004369 01 ANCC CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
Hwy 72 N Physicians Office Building Ii
City
State
Zip
65560
Phone Number
573-729-6112
Fax Number
573-729-4035
person
Provider Business Mailing Address Details
Address
Hwy 72 N Physicians Office Building Ii
City
State
Zip
65560
Phone Number
573-729-6112
Fax Number
573-729-4035
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
128312 (Missouri)
Definition
Definition to come...
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