Healthcare Provider Details

I. General information

NPI: 1043191299
Provider Name (Legal Business Name): ANNIE SPROUL MCLEAN DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE MCLEAN BILAUCA RN

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 SW 9TH AVE
BATTLE GROUND WA
98604-3269
US

IV. Provider business mailing address

1910 SW 9TH AVE
BATTLE GROUND WA
98604-3269
US

V. Phone/Fax

Practice location:
  • Phone: 360-687-8941
  • Fax:
Mailing address:
  • Phone: 360-687-8941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAP70156308
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: