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

Privia Medical Group Washington, PLLC

Organization Family Nurse Practitioner · NPI 1467715847

Privia Medical Group Washington, PLLC is a Family Nurse Practitioner 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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