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Individual

OLUWAKEMI OLUBUNMI OSIDELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C, CRNP

Contact information

Practice address
3 HILLCREST DR STE A101, FREDERICK, MD 21703-6105
(240) 575-9940
(240) 575-9481
Mailing address
3 HILLCREST DR STE A101, FREDERICK, MD 21703-6105
(240) 575-9940
(240) 575-9941

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R191391
MD
363L00000X
Nurse Practitioner
RN1020313
DC
363LF0000X
Family Nurse Practitioner
0024172973
VA
363LF0000X
Family Nurse Practitioner
R191391
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
109994
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649649468
MD
Enumeration date
09/22/2015
Last updated
07/11/2024
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