OMOLARA KOMOLAFE NPI 1861117293

NPI Information

  • NPI: 1861117293
  • Provider Name: OMOLARA KOMOLAFE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7503 SURRATTS RD
    CLINTON, MD
    ZIP 20735
  • Phone: (301) 877-4450

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NPI Details

Omolara Komolafe is a psychiatric/mental health nurse practitioner in Clinton, MD with 5 years of experience. Omolara Komolafe NPI is 1861117293. 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:

7503 SURRATTS RD
CLINTON, MD
ZIP 20735-358
Phone: (301) 877-4450

The NPI 1861117293 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 10/7/2022 and was last updated on 10/7/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR210323MARYLANDYes

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: 11/21/2025

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