DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONTU GUDETA KENTIBA, ARNP

Active Sole Proprietor

BONTU GUDETA KENTIBA, ARNP is a Adult Health Nurse Practitioner healthcare provider located in LACEY, Washington. NPI 1902640105 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · LACEY, WA

Registration Details

NPI Number
1902640105
Provider Type
Individual
Gender
Unknown
NPI Issued
Jun 21, 2024 (2.1290681715866 yrs)
Last Updated
Oct 19, 2025
License
AP70057059 (WA)
Sole Proprietor
Yes

Practice Information

Address
605 WOODLAND SQUARE LOOP SE
LACEY, WA, 985031045
Browse WA providers · Browse ZIP 98503
Phone
3607648000
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in LACEY, WA

Name Credential NPI
MS. NORA GANT ARNP, MN 1306064472
JAN ADELE SOLOY ARNP 1306004379
AMY LEANNE NICHOLSON ZEHNER NP 1417289331
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.