Whalio Doctors

NPI 1063192235

Mirabel Ngwe Boma

Practitioner Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Washington, DC

Practice location

Address
2811 Pennsylvania Ave SE, Washington, DC 20020-3865
Phone
(202) 894-6811
Mailing address
7708 Lexington Ave, Laurel, MD 20707-5835

Registered specialties (3)

Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0813X Licence NP1054131 (DC)
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0813X Licence R238558 (MD)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RN1054131 (DC)

Registry record

NPI
1063192235
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jul 2023
Record last updated
20 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.