Healthcare Provider Details

I. General information

NPI: 1235236027
Provider Name (Legal Business Name): JOSEPHINE OLUREMI ALADE CNM, MSN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOSEPHINE OLUREMI ALADE CNM,MSN,ARNP

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

4901 SW 193RD LN
SOUTHWEST RANCHES FL
33332-1230
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5116
  • Fax: 305-585-2496
Mailing address:
  • Phone: 954-434-1235
  • Fax: 954-434-1235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1006442
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: