Healthcare Provider Details

I. General information

NPI: 1689141236
Provider Name (Legal Business Name): TOYIN A AKANNI DNP- PMHNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. TOYIN A BADMUS

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 10/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 WAITE ST
NORTH BEND OR
97459-1229
US

IV. Provider business mailing address

13405 45TH DR SE UNIT 1
MILL CREEK WA
98012-4318
US

V. Phone/Fax

Practice location:
  • Phone: 541-756-6232
  • Fax:
Mailing address:
  • Phone: 425-344-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201809830NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: