Healthcare Provider Details

I. General information

NPI: 1073427837
Provider Name (Legal Business Name): RISE2MED HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 SANDY SPRING RD
LAUREL MD
20707-5309
US

IV. Provider business mailing address

7105 SANDY SPRING RD
LAUREL MD
20707-5309
US

V. Phone/Fax

Practice location:
  • Phone: 202-380-7083
  • Fax: 301-307-1923
Mailing address:
  • Phone: 202-380-7083
  • Fax: 301-307-1923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANUOLUWAPO OSILESI
Title or Position: OWNER / MANAGING MEMBER
Credential: AGPCNP
Phone: 202-380-7083