Healthcare Provider Details

I. General information

NPI: 1659211936
Provider Name (Legal Business Name): NADEGE JEAN-BAPTISTE OLESCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15201 SW 46TH CT
MIRAMAR FL
33027-3637
US

IV. Provider business mailing address

15201 SW 46TH CT
MIRAMAR FL
33027-3637
US

V. Phone/Fax

Practice location:
  • Phone: 786-419-6883
  • Fax:
Mailing address:
  • Phone: 786-419-6883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11042672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: