Individual provider · Type 1 NPI
Omolara Komolafe
Psychiatric/Mental Health Nurse Practitioner · Clinton, MD
NPI number
1861117293
Active
Practice location
7503 Surratts Rd
Clinton, MD 20735-3358
Mailing address
10743 Castleton Way
Upr Marlboro, MD 20774-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R210323 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1861117293
Omolara Komolafe's National Provider Identifier is 1861117293, issued on Oct 7, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, MD. The record was last updated on Oct 7, 2022.