Healthcare Provider Details

I. General information

NPI: 1790848778
Provider Name (Legal Business Name): SAKISHA ALYASHA DELVES DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 N 34TH ST
SEATTLE WA
98103-8604
US

IV. Provider business mailing address

PO BOX 95
KENT WA
98035-0095
US

V. Phone/Fax

Practice location:
  • Phone: 844-966-6777
  • Fax: 866-859-8195
Mailing address:
  • Phone: 253-220-7560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61232758
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00007993
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60868206
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: