Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fulfilled Mind & Wellness PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1730045766

Fulfilled Mind & Wellness PLLC is a Psychiatric/Mental Health Nurse Practitioner in Puyallup, Washington. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4117 S Meridian
Puyallup, WA 98373-3697
Phone: (253) 648-0115
Fax: (253) 237-9314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1730045766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Starla Halverson — Owner · (509) 833-4788
NPI enumeratedJanuary 3, 2026
Last updated in NPPESJanuary 3, 2026
Certification dateJanuary 3, 2026
Mailing address4117 S Meridian, Puyallup, WA 98373-3697

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