MEDICARE: MISTY DAWN TATOM ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	894413	TX
2	363LF0000X	Family Nurse Practitioner	AP61530730	WA
3	363LF0000X	Family Nurse Practitioner	1108433	TX

General Provider Information

NPI Number	:	1134832074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISTY DAWN TATOM ARNP

Provider Business Mailing Address
First Line	:	1507 W LEAGUE CITY PKWY
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-7339
Country	:	US
Telephone Number	:	713-737-5219
Fax Number	:

Provider Business Practice Location Address
First Line	:	1507 W LEAGUE CITY PKWY
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-7339
Country	:	US
Telephone Number	:	713-737-5219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2023
Last Update Date	:	06/24/2024

Similar Medicare Providers

1699813907 — WASHINGTON COUNTY COMMUNITY RESIDENTIAL SERVICES, INC.
Practice Location Address:

215 UNIVERSITY PKWY
JOHNSON CITY, TN
37604-7339

Practice Phone: 239-282-7524
Practice Fax: 423-928-3680

1104216662 — MORGAN HANNI PA-C
Practice Location Address:

6600 N OLIE AVE STE C
OKLAHOMA CITY, OK
73116-7339

Practice Phone: 405-419-5665
Practice Fax: 405-419-5429

1053185207 — SOPHIE NIKFARJAM M.A.
Practice Location Address:

5884 WASHINGTON BLVD
CULVER CITY, CA
90232-7339

Practice Phone: 323-834-9692
Practice Fax:

1285153338 — APRIL M CROUCH ARNP-FNP-C
Practice Location Address:

2660 GULF FWY S
LEAGUE CITY, TX
77573-6820

Practice Phone: 832-505-2100
Practice Fax:

1578556460 — DR. SCOTT CARIELLO PHARMD
Practice Location Address:

3216 RURAL GROVE LN
LEAGUE CITY, TX
77573-5011

Practice Phone: 609-439-7679
Practice Fax:

1982568796 — SKYLAR COURVILLE
Practice Location Address:

109 SWEETGUM ST
LEAGUE CITY, TX
77573-1636

Practice Phone: 337-563-8401
Practice Fax:

Directions to “ MISTY DAWN TATOM ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.