Individual
NGEYI MIRABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 545-0935
Mailing address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1045869
DC
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN1045869
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R227796
MD
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/27/2012
Last updated
03/02/2026
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