Provider Demographics
NPI:1609144369
Name:ALAWODE, FLORENCE (NP)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:
Last Name:ALAWODE
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 1:3050 REGENT BIVD SUIT 400
Mailing Address - Street 2:EMSI NET WORK
Mailing Address - City:75063
Mailing Address - State:TX
Mailing Address - Zip Code:75063
Mailing Address - Country:US
Mailing Address - Phone:214-689-8112
Mailing Address - Fax:
Practice Address - Street 1:3050 REGENT BLVD STE 400
Practice Address - Street 2:EMSI NET WORK
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-5808
Practice Address - Country:US
Practice Address - Phone:214-689-8112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004024363LG0600X
TX011914363LG0600X
DC2007004897364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC165702Other165702