Tavia Marie Vital, RN, CDE - Registered Nurse in Rock Island, IL

Tavia Marie Vital, RN, CDE is a Registered Nurse - Diabetes Educator based in Rock Island, Illinois. Tavia Marie Vital is licensed to practice in Illinois (license number 041390337) and her current practice location is 2560 24th St, Suite 102, Rock Island, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 788-0014.

NPI number for Tavia Marie Vital is 1508145756 and her current mailing address is 2560 24th St, Suite 102, Rock Island, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508145756.

Contact Information

Tavia Marie Vital, RN, CDE
2560 24th St, Suite 102,
Rock Island, IL 61201-5357
(309) 788-0014
(309) 793-3092

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Provider's Profile

Full NameTavia Marie Vital
GenderFemale
SpecialityRegistered Nurse - Diabetes Educator
Location2560 24th St, Rock Island, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508145756
  • Provider Enumeration Date: 08/05/2011
  • Last Update Date: 08/05/2011

Medical Identifiers

Medical identifiers for Tavia Marie Vital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508145756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD0400XRegistered Nurse - Diabetes Educator 041390337 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tavia Marie Vital is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tavia Marie Vital, RN, CDE
2560 24th St, Suite 102,
Rock Island, IL 61201-5357

Ph: (309) 788-0014
Tavia Marie Vital, RN, CDE
2560 24th St, Suite 102,
Rock Island, IL 61201-5357

Ph: (309) 788-0014

Reviews and Comments


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