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

Miriam Chynwe Ezenwaka

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356061717

Miriam Chynwe Ezenwaka is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2020, 6 years ago. Practices with Mbi Health Services LLC, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia and Maryland.

Years since qualifying
6
Licensed in
DC, MD
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1221 Taylor St NW
Washington, DC 20011-5617
Phone: (202) 464-9200
Fax: (202) 291-2160
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 4106 Winding Waters Ter, Upper Marlboro, MD 20772-2504 — (301) 675-5364

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP500015019 (DC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R172386 (MD)

Record details

NPI number1356061717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mbi Health Services Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Washington