KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790460178

KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) is a healthcare provider. based in Enumclaw, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. AP61440338 (WA). The NPI Number for KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) is 1790460178

Main info

Male
Sole Proprietor
Name
KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER)
NPI
1790460178
Phone
(206) 384-2222
Address
1202 BERILLA DR
Enumeration Date
21 June 2023
Last Update Date
15 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

Provider Addresses for KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER)

  • 1202 BERILLA DR

    ENUMCLAW, WA 980228426

    Phone: (206) 384-2222

    Fax: (425) 968-1999

    Type: Mailing

  • 13806 123RD AVE NE

    KIRKLAND, WA 980342248

    Phone: (206) 384-2222

    Fax: (425) 968-1999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98022)

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Frequently asked questions

What is the 10-digit NPI for KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER)?
KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) — NPI 1790460178 — is the standard way to identify this listing.
Does CMS list KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) as active?
Yes — KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) is active in the NPI listing used on this page.
What healthcare role does KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) hold?
Scheduling teams often label KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) on a map?
Expect Enumclaw, Washington as a primary anchor for KOUASSI KAN BOUA LAZARE ASSIE (NURSE PRACTITIONER) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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