person
Praveen Bodakunta, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Federal Way, Washington
NPI 1295243848

Praveen Bodakunta is a Psychiatric/Mental Health Nurse Practitioner based in Lakewood, WA and is specialized in Psychiatric/Mental Health. Praveen Bodakunta practices in Federal Way, WA and has the professional credentials of PMHNP. The NPI Number for Praveen Bodakunta is 1295243848 and holds a License No. RN60641646 (Washington).

The current practice location address for Praveen Bodakunta is 33480 13Th Pl S, Federal Way, WA and can be reached out via phone at 253-285-7101.

Location: 33480 13Th Pl S, Federal Way, WA, 98499-2858
person
Provider Profile Details
NPI Number
1295243848
Provider Name
Praveen Bodakunta
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
33480 13Th Pl S, Federal Way, WA, 98499-2858
Phone Number
253-285-7101
Fax Number
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
33480 13Th Pl S
City
State
Zip
98003-6357
Phone Number
253-285-7101
Fax Number
person
Provider Business Mailing Address Details
Address
33480 13Th Pl S
City
State
Zip
98003-6357
Phone Number
253-285-7101
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP60909328 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN60641646 (Washington)
Definition
Definition to come...
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