Organization · Type 2 NPI

Principal Health Clinic LLC

Primary Care Nurse Practitioner · Bonney Lake, WA

NPI number 1932910684 Active

Practice location

21525 Sr 410 E Ste A
Bonney Lake, WA 98391-4101

Fax (888) 440-5188

Mailing address

PO Box 7531
Bonney Lake, WA 98391-0924

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction Medicine (Family Medicine) Physician 207QA0401XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

2 other providers at this address

About NPI 1932910684

Principal Health Clinic LLC's National Provider Identifier is 1932910684, issued on Jan 14, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bonney Lake, WA. The record was last updated on Aug 19, 2025.