Olubukola Komolafe, NURSEPRACTITIONER
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 340Phoenix, AZ 85044-7805
Phone: (832) 542-3181
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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 number | 1134628738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2018 |
| Last updated in NPPES | October 1, 2021 |
| Certification date | October 1, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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