Individual provider · Type 1 NPI
Princewill Fonta, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Olympia, WA
NPI number
1710612239
Active
Practice location
711 State Ave NE
Olympia, WA 98506-3984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010342 (DE) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP70059722 (WA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2307255 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710612239
Princewill Fonta, PMHNP's National Provider Identifier is 1710612239, issued on Jul 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Olympia, WA. The record was last updated on May 19, 2026.