Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Privia Medical Group Washington, PLLC

Organization Family Nurse Practitioner · NPI 1467715847

Privia Medical Group Washington, PLLC provides Family Nurse Practitioner services in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

55 W Tietan St
Walla Walla, WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60297383 (WA)

Record details

NPI number1467715847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Michelson — Ceo · (509) 525-3720
Other names Walla Walla Clinic; Walla Walla Clinic
NPI enumeratedJune 20, 2012
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address55 W Tietan St, Walla Walla, WA 99362-4445

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