Healthcare Provider Details

I. General information

NPI: 1376455725
Provider Name (Legal Business Name): OYINLADE OLUWABUKOLA ALADE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 S 8TH ST
MINNEAPOLIS MN
55404-7530
US

IV. Provider business mailing address

13987 ASHDALE AVE
ROSEMOUNT MN
55068-4841
US

V. Phone/Fax

Practice location:
  • Phone: 612-873-6963
  • Fax:
Mailing address:
  • Phone: 603-260-9816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number685
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: