OLUWAKEMI OLUBUNMI OSIDELE DNP FNP-C CRNP NPI 1649649468

NPI Information

NPI: 1649649468
Provider Name: OLUWAKEMI OLUBUNMI OSIDELE, DNP, FNP-C, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
188 THOMAS JOHNSON DR STE 102
FREDERICK, MD
ZIP 21702
Phone: (240) 575-9940
Get Directions

Oluwakemi Olubunmi Osidele, DNP, FNP-C, CRNP is a family nurse practitioner in Frederick, MD with 7 years of experience. Oluwakemi Olubunmi Osidele, DNP, FNP-C, CRNP NPI is 1649649468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

188 THOMAS JOHNSON DR STE 102
FREDERICK, MD
ZIP 21702
Phone: (240) 575-9940
Fax: (240) 575-9481

The NPI 1649649468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2015 and was last updated on 8/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN1020313	DISTRICT OF COLUMBIA	No
2	363L00000X	Nurse Practitioner		R191391	MARYLAND	No
3	363LF0000X	Nurse Practitioner	Family	0024172973	VIRGINIA	No
4	363LF0000X	Nurse Practitioner	Family	R191391	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1649649468	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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