ISHMAEL KOMARA NPI 1548702889

NPI Information

NPI: 1548702889
Provider Name: ISHMAEL KOMARA
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
5317 BROOKDALE DR N
BROOKLYN PARK, MN
ZIP 55443
Phone: (763) 458-2727
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Ishmael Komara is a home health registered nurse in Brooklyn Park, MN. Ishmael Komara NPI is 1548702889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5317 BROOKDALE DR N
BROOKLYN PARK, MN
ZIP 55443-010
Phone: (763) 458-2727
Fax: (763) 207-0076

The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.

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	374U00000X	Home Health Aide				No
2	376J00000X	Homemaker				No
3	376K00000X	Nurse's Aide				No
4	163WH0200X	Registered Nurse	Home Health	R177789-5	MINNESOTA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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