IndividualActive
Tavia Vital, RN, CDE
NPI 1508145756 · Diabetes Educator Registered Nurse · Rock Island, IL
Provider details
- NPI number
- 1508145756
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 041390337 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
2560 24th St
Suite 102
Rock Island, IL 61201-5357
Phone: (309) 788-0014
Fax: (309) 793-3092
Approximate (ZIP-level) locationGet directions
Mailing address
2560 24th St
Rock Island, IL 61201-5357
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2011-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.