Individual provider · Type 1 NPI

Tavia Marie Vital, RN, CDE

Diabetes Educator Registered Nurse · Rock Island, IL

NPI number 1508145756 Active

About NPI 1508145756

Tavia Marie Vital, RN, CDE's National Provider Identifier is 1508145756, issued on Aug 5, 2011. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Rock Island, IL. The record was last updated on Aug 5, 2011.