Individual provider · Type 1 NPI

Mia Robernette Tait, FNP-C

Family Nurse Practitioner · Woonsocket, RI

NPI number 1376193094 Active

Practice location

1 Cvs Dr
Woonsocket, RI 02895-6195

Mailing address

14601 Constitution Rd
Moss Point, MS 39562-6375

Other practice locations

  • 14601 Constitution Rd, Moss Point, MS 39562-6375 · (251) 776-2015

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X864476 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1376193094

Mia Robernette Tait, FNP-C's National Provider Identifier is 1376193094, issued on Sep 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woonsocket, RI. The record was last updated on Jan 22, 2025.