Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethlene Evette Dade, FNP

Individual provider Family Nurse Practitioner · NPI 1417649013

Ethlene Evette Dade, FNP is a Nurse Practitioner in Long Beach, California. Qualified in 2023, 3 years ago. Licensed in California and Texas.

Years since qualifying
3
Licensed in
CA, TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone: (760) 936-7118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95025043 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1208802 (TX)

Record details

NPI number1417649013
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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