MR. ETIENNE POUFONG, NP

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1023626959

Practice Address

1001 - MOUNTLAKE TERRACE
Mountlake Terrace, WA 98043

Phone: (469) 321-9543

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes AP61426687 (WA)

Frequently Asked Questions

NPI 1023626959 is the National Provider Identifier for MR. ETIENNE POUFONG, NP, a Nurse Practitioner - Psychiatric/Mental Health provider located in Mountlake Terrace, WA. This NPI was enumerated on July 16, 2020.
MR. ETIENNE POUFONG, NP practices at 1001 - MOUNTLAKE TERRACE, Mountlake Terrace, WA 98043.

Quick Facts

NPI
1023626959
Type
Individual
Enumerated
Jul 16, 2020
Last Updated
Jun 25, 2023

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