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

Kofo Abiru-Adebambo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1548924459

Kofo Abiru-Adebambo is a Nurse Practitioner in Rosedale, Maryland. Qualified in 2021, 5 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2021

Practice location Address checks out

1232 Race Rd Ste 403
Rosedale, MD 21237-1483
Phone: (443) 868-7101
Fax: (443) 732-0054
Show map & directions

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

Additional practice locations (1)

  • 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 — (301) 263-3786

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R182386 (MD)

Record details

NPI number1548924459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2021
Last updated in NPPESDecember 28, 2024
Certification dateDecember 28, 2024
Mailing address822 Guilford Ave Unit 2010, Baltimore, MD 21202-3707

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rosedale