Vivian Tadlock
Vivian Tadlock is a Case Management Registered Nurse in Prague, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.
- Licensed in
- OK
- In the registry since
- 2020
Practice location Address checks out
57533 Moccasin Trail RdPrague, OK 74864-1143
Phone: (405) 567-0054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Registered Nurse (primary) | Taxonomy 163WC0400X · Licence 50524 (OK) |
|---|
Record details
| NPI number | 1659901874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 16, 2020 |
| Last updated in NPPES | January 16, 2020 |
| Certification date | January 16, 2020 |
| Mailing address | 57533 Moccasin Trail Rd, Prague, OK 74864-1143 |