Provider Demographics
NPI:1568727972
Name:NSAGHA, MABEL BOBOH (PMHNP)
Entity type:Individual
Prefix:MS
First Name:MABEL
Middle Name:BOBOH
Last Name:NSAGHA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 PARLIAMENT PL STE 430-M9
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-1803
Mailing Address - Country:US
Mailing Address - Phone:240-245-0791
Mailing Address - Fax:240-348-8530
Practice Address - Street 1:4200 PARLIAMENT PL STE 430-M9
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1803
Practice Address - Country:US
Practice Address - Phone:240-245-0791
Practice Address - Fax:240-348-8530
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR223180363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health