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

Omolara Omolola Amosu

Individual provider Family Nurse Practitioner · NPI 1912681172

Omolara Omolola Amosu is a Nurse Practitioner in Fulton, Maryland. Qualified in 2022, 4 years ago. Licensed in Maryland and Texas.

Years since qualifying
4
Licensed in
MD, TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

11502 Iager Blvd
Fulton, MD 20759-2653
Phone: (240) 441-9959
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R193868 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F05230789 (TX)

Record details

NPI number1912681172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Fulton