Individual
PRAVEEN BODAKUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
300 LENORA ST STE 401, SEATTLE, WA 98121-2411
(206) 699-8261
Mailing address
300 LENORA ST, SEATTLE, WA 98121-2411
(206) 699-8261
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60641646
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
288853
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
862811
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95023203
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60909328
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0103995-C-NP
CO
Other
Enumeration date
01/17/2018
Last updated
12/08/2025
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