# PRIMROSE PRIMARY CARE AND WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366142887
- **Authorized official:** DEBRA A TATUM MD (FAMILY MEDICINE PHYSICIAN)
- **Authorized official phone:** (309) 261-3784

## Contact information

- **Practice address:** 10715 N FRANK LLOYD WRIGHT BLVD STE 107, SCOTTSDALE, AZ 85259-2691
- **Practice address phone:** (480) 860-5533
- **Practice address fax:** (480) 860-5005
- **Mailing address:** 10715 N FRANK LLOYD WRIGHT BLVD STE 107, SCOTTSDALE, AZ 85259-2691
- **Mailing address phone:** (480) 860-5533
- **Mailing address fax:** (480) 860-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2023
- **Last updated:** 03/03/2023