Privia Medical Group Washington, Pllc
NPI #1467715847 in Walla Walla, Washington
Provider Information
- NPI Number
- 1467715847
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Washington, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 20, 2012
- Last Updated
- Oct 6, 2023
Practice Location
- Address
- 55 W TIETAN ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4445
- Phone
- (509) 525-3720
Authorized Official
- Name
- KEVIN J MICHELSON
- Title
- CEO
- Phone
- (509) 525-3720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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