Individual
DENISE TATEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891
Mailing address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN3084312
FL
363LG0600X
Gerontology Nurse Practitioner
APRN3084312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023548000
—
FL
Enumeration date
11/23/2015
Last updated
11/22/2021
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