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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None 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.