Individual provider · Type 1 NPI
Samantha Keely
Nurse Practitioner · Bonney Lake, WA
Practice location
18209 WA-410, Suite 303
Bonney Lake, WA 98391
Mailing address
18209 WA-410 Suite 303
Bonney Lake, WA 98391
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP70169901 (WA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
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About NPI 1114848017
Samantha Keely's National Provider Identifier is 1114848017, issued on Jul 24, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bonney Lake, WA. The record was last updated on Sep 1, 2026.