| Mia Robernette Tait, FNP-C | |
|
1 Cvs Dr, Woonsocket, RI 02895-6195 | |
| (401) 581-6303 | |
| Not Available |
| Full Name | Mia Robernette Tait |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Cvs Dr, Woonsocket, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376193094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 864476 (Mississippi) | Primary |
| Entity Name | Mdb Behavioral Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Truhealth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20200923002569 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Robernette Tait, FNP-C 14601 Constitution Rd, Moss Point, MS 39562-6375 Ph: (228) 712-0396 | Mia Robernette Tait, FNP-C 1 Cvs Dr, Woonsocket, RI 02895-6195 Ph: (401) 581-6303 |
Ms. Joanne Rose Ruggeri, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: One, Cvs Drive, Woonsocket, RI 02895 Phone: 866-389-2727 | |
Ms. Karen Wilmot-chin, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Diamond Hill Rd Ste 18, Woonsocket, RI 02895 Phone: 401-470-7116 | |
Chanta Pou, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 68 Cumberland St, Ste 102, Woonsocket, RI 02895 Phone: 401-356-1940 | |
Kayla Noelle Butler, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 866-389-2727 | |
Nancy Elizabeth Castro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6899 | |
Angela Patterson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 617-694-7764 Fax: 401-652-9356 | |
Margaret Janci, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cummings Way, Woonsocket, RI 02895 Phone: 401-235-7000 |