Provider Demographics
NPI:1811537632
Name:KAROS, TATUM (PMHNP)
Entity type:Individual
Prefix:MS
First Name:TATUM
Middle Name:
Last Name:KAROS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 TAMIAMI TRL N FL 1
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4135
Mailing Address - Country:US
Mailing Address - Phone:239-388-2224
Mailing Address - Fax:239-388-2224
Practice Address - Street 1:3201 TAMIAMI TRL N FL 1
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4135
Practice Address - Country:US
Practice Address - Phone:239-388-2224
Practice Address - Fax:239-388-2224
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7158363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health