TAVIA M VITAL, RN, CDE, Diabetes Educator ROCK ISLAND, IL

Contact Information

TAVIA M VITAL, RN, CDE

2560 24TH ST
SUITE 102
ROCK ISLAND, IL 61201-5357

Phone: 309-788-0014
Fax: 309-793-3092
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diabetes Educator	163WD0400X

Indicates primary specialty

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NPI Profile & details for TAVIA M VITAL · (Female)

NPI #	`1508145756`
Status	Active
Credentials	RN, CDE
Entity	Individual
Enumeration date	08/05/2011
Last updated	08/05/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	IL License # 041390337
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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TAVIA M VITAL, RN, CDE – NPI #1508145756Diabetes Educator

Contact Information

Specialty

Diabetes Educator

NPI Profile & details for TAVIA M VITAL · (Female)

Reviews for TAVIA M VITAL

TAVIA M VITAL, RN, CDE – NPI #1508145756
Diabetes Educator