Provider Profile

Etienne C. Poufong, NP

Unclaimed Profile

About Etienne Poufong

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Education & Training

School Other Graduated: 2020

Specialty

Nurse Practitioner — Psychiatric/Mental Health (Primary)
Nurse Practitioner — Psychiatric/Mental Health (Additional)

Credentials & Licensing

WA licenseAP61426687
TX licenseAP146155
NPI1023626959
NPI issued07/16/2020

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Etienne C. Poufong specialize in?

Etienne C. Poufong is a nurse practitioner in Mountlake Terrace, WA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Psychiatric/Mental Health”.

NPI registry

Where is Etienne C. Poufong located?

Etienne C. Poufong is listed at 1001 - Mountlake Terrace, Mountlake Terrace, WA 98043. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Etienne C. Poufong's phone number?

The number on file is (469) 321-9543. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Etienne C. Poufong?

Etienne C. Poufong's National Provider Identifier is 1023626959. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Etienne C. Poufong train?

Etienne C. Poufong attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Etienne C. Poufong have?

Etienne C. Poufong has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

Is Etienne C. Poufong's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Etienne C. Poufong. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.