Individual provider · Type 1 NPI
Charline Boufin Tebeu, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Davie, FL
NPI number
1558022608
Active
Practice location
12535 Orange Dr Ste 605
Davie, FL 33330-4307
Fax (754) 348-4844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95028762 (CA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 279490 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11017056 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1558022608
Charline Boufin Tebeu, PMHNP's National Provider Identifier is 1558022608, issued on Dec 30, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Davie, FL. The record was last updated on Oct 9, 2025.