Provider Demographics
NPI:1932505252
Name:OLOFINLADE, FOLASADE (RNP)
Entity Type:Individual
Prefix:
First Name:FOLASADE
Middle Name:
Last Name:OLOFINLADE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 CHAPMAN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4533
Mailing Address - Country:US
Mailing Address - Phone:401-490-6566
Mailing Address - Fax:
Practice Address - Street 1:225 CHAPMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-4533
Practice Address - Country:US
Practice Address - Phone:401-490-6566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00842363LF0000X
RICNPP37910363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily