Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIVIAN TADLOCK
ActiveVIVIAN TADLOCK is a Case Management Nurse healthcare provider located in PRAGUE, Oklahoma. NPI 1659901874 is currently active in the NPPES registry. Verify at CMS.
Case Management Nurse · PRAGUE, OK
Registration Details
- NPI Number
- 1659901874
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2020 (6.6074250854699 yrs)
- Last Updated
- Jan 16, 2020
- License
-
50524 (OK)
Practice Information
- Address
-
57533 MOCCASIN TRAIL RDPRAGUE, OK, 748641143Browse OK providers · Browse ZIP 74864
- Phone
- 4055670054
- Primary Specialty
-
Case Management Nurse
163WC0400X
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.