Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Talisa Laurayne Tait

Individual provider Pediatrics Physician · NPI 1417688292

Talisa Laurayne Tait is a Pediatrics Physician in Wheaton, Maryland. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

2401 Blueridge Ave Ste 200
Wheaton, MD 20902-4597
Phone: (301) 933-6440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0116036820 (VA)

Record details

NPI number1417688292
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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