MIRABEL NGWE BOMA
NPI 1063192235
Clinical Nurse Specialist - Psychiatric/Mental Health, Geropsychiatric in Washington, DC
About Mirabel Ngwe Boma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRABEL NGWE BOMA (NPI 1063192235) is an individual psychiatric/mental health, geropsychiatric provider in Washington, District Of Columbia, licensed in District Of Columbia (NP1054131) and active in the NPI registry since July 2023.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mirabel Boma's NPI number?
The NPI number for Mirabel Boma is 1063192235. It was assigned to this individual provider in the NPPES registry on July 21, 2023.
Where is Mirabel Boma located?
Mirabel Boma practices at 2811 Pennsylvania Ave SE, Washington, DC 20020. The listed phone number is (202) 894-6811.
What is Mirabel Boma's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Geropsychiatric, with taxonomy code 364SP0813X.
When was this NPI record last updated?
The NPPES record for Mirabel Boma was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mirabel Ngwe Boma · NPI 1063192235
Psychiatric/Mental Health, Geropsychiatric physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since July 21, 2023.
## Identity
- **NPI:** 1063192235 (Entity type: Individual)
- **Enumerated:** July 21, 2023
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health, Geropsychiatric · taxonomy 364SP0813X
- **State license:** NP1054131 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2811 PENNSYLVANIA AVE SE, Washington, DC 20020-3865
- **Phone:** (202) 894-6811
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063192235) · Data from the CMS NPPES public registry.