Healthcare Provider Details

I. General information

NPI: 1437987518
Provider Name (Legal Business Name): MISS ALANAH KARLA WADE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 12/14/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 W BROADWAY
NEW YORK NY
10012-5121
US

IV. Provider business mailing address

379 W BROADWAY
NEW YORK NY
10012-5121
US

V. Phone/Fax

Practice location:
  • Phone: 646-351-6145
  • Fax:
Mailing address:
  • Phone: 646-351-6145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: