Organization
SAVING LIVES CENTER LLC
Active
Other names
Saving Lives Center Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUWAKEMI OSIDELE DNP, FNP-C (CEO)
(240) 277-3768
Entity
Organization
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) 575-9481
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R191391
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1362453
—
MD
05
—
545071YZ2Q
—
DC
Enumeration date
08/30/2018
Last updated
09/01/2023
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