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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710612239

Princewill Fonta, PMHNP is a Nurse Practitioner in Olympia, Washington. Qualified in 2021, 5 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Delaware, Massachusetts and Washington.

Years since qualifying
5
Licensed in
DE, MA, WA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

711 State Ave NE
Olympia, WA 98506-3984
Phone: (360) 943-0780
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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 · Licence AP70059722 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence L8-0010342 (DE)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2307255 (MA)

Record details

NPI number1710612239
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJuly 19, 2022
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address711 State Ave Ne, Olympia, WA 98506-3984

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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