Healthcare Provider Details

I. General information

NPI: 1114830213
Provider Name (Legal Business Name): MARAKI NURSE DELEGATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16520 115TH AVE SE
RENTON WA
98055-5206
US

IV. Provider business mailing address

16520 115TH AVE SE
RENTON WA
98055-5206
US

V. Phone/Fax

Practice location:
  • Phone: 206-229-8018
  • Fax:
Mailing address:
  • Phone: 206-229-8018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MESSERET ELALA
Title or Position: REGISTERED NURSE
Credential:
Phone: 206-229-8018