Healthcare Provider Details

I. General information

NPI: 1194658401
Provider Name (Legal Business Name): EVADELENE JEAN BAPTISTE CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 SW 172ND AVE STE 212
MIRAMAR FL
33029-5613
US

IV. Provider business mailing address

1951 SW 172ND AVE STE 212
MIRAMAR FL
33029-5613
US

V. Phone/Fax

Practice location:
  • Phone: 954-507-4494
  • Fax:
Mailing address:
  • Phone: 954-507-4494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number11045860
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: