person
Tavia Marie Vital, RN,CDE
Diabetes Educator Registered Nurse in Rock Island, Illinois
NPI 1508145756

Tavia Marie Vital is a Diabetes Educator Registered Nurse based in Rock Island, IL and is specialized in Diabetes Educator. Tavia Marie Vital practices in Rock Island, IL and has the professional credentials of RN,CDE. The NPI Number for Tavia Marie Vital is 1508145756 and holds a License No. 041390337 (Illinois).

The current practice location address for Tavia Marie Vital is 2560 24Th St, Rock Island, IL and can be reached out via phone at 309-788-0014 and via fax at 309-793-3092.

Location: 2560 24Th St, Rock Island, IL, 61201-5357
person
Provider Profile Details
NPI Number
1508145756
Provider Name
Tavia Marie Vital
Credential
RN,CDE
Provider Entity Type
Individual
Gender
Female
Address
2560 24Th St, Rock Island, IL, 61201-5357
Phone Number
309-788-0014
Fax Number
309-793-3092
Provider Enumeration Date
08/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2560 24Th St
City
State
Zip
61201-5357
Phone Number
309-788-0014
Fax Number
309-793-3092
person
Provider Business Mailing Address Details
Address
2560 24Th St
City
State
Zip
61201-5357
Phone Number
309-788-0014
Fax Number
309-793-3092
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
License No.
041390337 (Illinois)
Definition
Definition to come...
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