Organization · Type 2 NPI

Bonney Lake Psychiatry LLC

Psychiatric/Mental Health Nurse Practitioner · Bothell, WA

NPI number 1467313858 Active

Practice location

10634 E Riverside Dr Ste 130
Bothell, WA 98011-3758

Mailing address

100 N Howard St Ste R
Spokane, WA 99201-0508

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467313858

Bonney Lake Psychiatry LLC's National Provider Identifier is 1467313858, issued on Nov 24, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bothell, WA. The record was last updated on Nov 24, 2025.