Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAVIA MARIE VITAL, RN, CDE
ActiveTAVIA MARIE VITAL, RN, CDE is a Diabetes Educator Nurse healthcare provider located in ROCK ISLAND, Illinois. NPI 1508145756 is currently active in the NPPES registry. Verify at CMS.
Diabetes Educator Nurse · ROCK ISLAND, IL
Registration Details
- NPI Number
- 1508145756
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2011 (14.983628338085 yrs)
- Last Updated
- Aug 5, 2011
- License
-
041390337 (IL)
Practice Information
- Address
-
2560 24TH STSUITE 102ROCK ISLAND, IL, 612015357Browse IL providers · Browse ZIP 61201
- Phone
- 3097880014
- Fax
- 3097933092
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.