Provider Demographics
NPI:1215304001
Name:FALADE, AINA
Entity type:Individual
Prefix:
First Name:AINA
Middle Name:
Last Name:FALADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 MONTELLO AVE NE
Mailing Address - Street 2:NORTH-EAST
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3819
Mailing Address - Country:US
Mailing Address - Phone:202-455-1747
Mailing Address - Fax:
Practice Address - Street 1:1321 MONTELLO AVE NE
Practice Address - Street 2:NORTH-EAST
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3819
Practice Address - Country:US
Practice Address - Phone:202-455-1747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN1002610164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse