Healthcare Provider Details

I. General information

NPI: 1023995644
Provider Name (Legal Business Name): MISS MIKAYLA AKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST MAIN HOSPITAL
SEATTLE WA
98195
US

IV. Provider business mailing address

1959 NE PACIFIC STREET
SEATTLE WA
98195
US

V. Phone/Fax

Practice location:
  • Phone: 808-228-1360
  • Fax:
Mailing address:
  • Phone: 206-543-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN61468301
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: