Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETIENNE CLEMENT POUFONG, NP
Active Sole ProprietorMR. ETIENNE CLEMENT POUFONG, NP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MOUNTLAKE TERRACE, Washington. NPI 1023626959 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · MOUNTLAKE TERRACE, WA
Registration Details
- NPI Number
- 1023626959
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2020 (6.0827854908872 yrs)
- Last Updated
- Jun 25, 2023
- Licenses
-
AP146155 (TX)AP61426687 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 - MOUNTLAKE TERRACEMOUNTLAKE TERRACE, WA, 980437510Browse WA providers · Browse ZIP 98043
- Phone
- 4693219543
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MOUNTLAKE TERRACE, WA
| Name | Credential | NPI |
|---|---|---|
| TANYA BIRCHLER | PMHNP-BC, CARN-AP | 1881909430 |
| KRISTINE CORENE BURNS | — | 1831537943 |
| FRANTZ GEORGES | FNP | 1881064830 |
| NICHOLAS K GARMON | PMHNP-BC, FNP-C | 1639530785 |
| AMY MELISSA PORTER | ARNP | 1528515814 |
| ERIN FRAME | PMHNP-BC | 1710434097 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.