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

Mirabel Ngwe Boma

Individual provider Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1063192235

Mirabel Ngwe Boma is a Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.

Licensed in
DC, MD
In the registry since
2023
Specialties on file
3

Practice location Address checks out

2811 Pennsylvania Ave SE
Washington, DC 20020-3865
Phone: (202) 894-6811
Show map & directions

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

Specialties & licences

Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0813X · Licence NP1054131 (DC)
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0813X · Licence R238558 (MD)
Registered Nurse Taxonomy 163W00000X · Licence RN1054131 (DC)

Record details

NPI number1063192235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 21, 2023
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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