Individual provider · Type 1 NPI

Vivian Tadlock

Case Management Registered Nurse · Prague, OK

NPI number 1659901874 Active

About NPI 1659901874

Vivian Tadlock's National Provider Identifier is 1659901874, issued on Jan 16, 2020. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Prague, OK. The record was last updated on Jan 16, 2020.