Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olubukola Komolafe, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1134628738

Olubukola Komolafe, NURSEPRACTITIONER is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2018
Specialties on file
2

Practice location Address checks out

13838 S 46th Pl Ste 340
Phoenix, AZ 85044-7805
Phone: (832) 542-3181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1810 E Sahara Ave Ste 100, Las Vegas, NV 89104-3707 — (702) 530-4531

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP10975 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP10975 (AZ)

Record details

NPI number1134628738
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 8, 2018
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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