CHARLINE BOUFIN TEBEU PMHNP NPI 1558022608

NPI Information

  • NPI: 1558022608
  • Provider Name: CHARLINE BOUFIN TEBEU, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12535 ORANGE DR STE 605
    DAVIE, FL
    ZIP 33330
  • Phone: (754) 333-1609

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NPI Details

Charline Boufin Tebeu, PMHNP is a psychiatric/mental health nurse practitioner in Davie, FL with 5 years of experience. Charline Boufin Tebeu, PMHNP NPI is 1558022608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12535 ORANGE DR STE 605
DAVIE, FL
ZIP 33330-307
Phone: (754) 333-1609
Fax: (754) 348-4844

The NPI 1558022608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2021 and was last updated on 10/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95028762CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health279490ARIZONANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health11017056FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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