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

Ramatu Ibrahim, CRNP-PMH

Individual provider Nurse Practitioner · NPI 1679367379

Ramatu Ibrahim, CRNP-PMH is a Nurse Practitioner in Laurel, Maryland. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2025
Specialties on file
2

Practice location Address checks out

12600 Ivory Pass
Laurel, MD 20708-2442
Phone: (571) 244-1436
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R205339 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence R205339 (MD)

Record details

NPI number1679367379
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PMH
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address12600 Ivory Pass, Laurel, MD 20708-2442

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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