Mia J Taveroni
Physician Assistant in Fredericksburg, Virginia
1205793502- Practice location
- 10 Stafford Lakes Pkwy Ste 102, Fredericksburg, VA 22406-7305
- Phone
- 540-741-6982
- Fax
- —
- Last updated
- June 8, 2026
Mia Jo Taveroni is a Physician Assistant based in Fredericksburg, VA. Mia Jo Taveroni practices in Fredericksburg, VA. The NPI Number for Mia Jo Taveroni is 1205793502 and holds a License No. 0110011893 (VA). The current practice location address for Mia Jo Taveroni is 10 Stafford Lakes Pkwy Ste 102, Fredericksburg, VA 22406-7305 and can be reached out via phone at 540-741-6982.
Provider Profile Details
- NPI Number
- 1205793502
- Provider Name
- Mia Jo Taveroni
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Stafford Lakes Pkwy Ste 102, Fredericksburg, VA 22406-7305
- Phone Number
- 540-741-6982
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 7, 2026
- Last Update Date
- June 8, 2026
- Certification Date
- June 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Stafford Lakes Pkwy Ste 102
Fredericksburg, VA 22406-7305 - City
- Fredericksburg
- State
- Virginia
- Zip
- 22406-7305
- Phone Number
- 540-741-6982
Provider Business Mailing Address Details
- Address
- 1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940 - City
- Fredericksburg
- State
- VA
- Zip
- 22401-4940
- Phone Number
- 540-741-6982
License Information
- License Number
- 0110011893
- License State
- VA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mia J Taveroni?
The NPI number of Mia J Taveroni is 1205793502. It was assigned on January 7, 2026 and is currently active in the NPPES registry.
What is the specialty of Mia J Taveroni?
Mia J Taveroni is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VA under license number 0110011893.
Where does Mia J Taveroni practice?
The practice location is 10 Stafford Lakes Pkwy Ste 102, Fredericksburg, VA 22406-7305. The office can be reached at 540-741-6982 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205793502 directly on the NPPES registry website.