Provider Demographics
NPI:1043859499
Name:ALOFE, EBIAREDO (NP)
Entity Type:Individual
Prefix:
First Name:EBIAREDO
Middle Name:
Last Name:ALOFE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6642
Mailing Address - Country:US
Mailing Address - Phone:908-472-8042
Mailing Address - Fax:
Practice Address - Street 1:704 GARDEN ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6642
Practice Address - Country:US
Practice Address - Phone:908-472-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09618800163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health