Provider Demographics
NPI:1629620364
Name:ONIFADE, BEATRICE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:
Last Name:ONIFADE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15281 SW 51ST ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3608
Mailing Address - Country:US
Mailing Address - Phone:954-478-6577
Mailing Address - Fax:954-544-2010
Practice Address - Street 1:15281 SW 51ST ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-3608
Practice Address - Country:US
Practice Address - Phone:954-478-6577
Practice Address - Fax:954-544-2010
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032901364SP0810X, 364SP0810X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family