Provider Demographics
NPI:1316487549
Name:AKIL, NAKITA (RN)
Entity type:Individual
Prefix:
First Name:NAKITA
Middle Name:
Last Name:AKIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6818 S ALASKA ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-1325
Mailing Address - Country:US
Mailing Address - Phone:253-720-1889
Mailing Address - Fax:
Practice Address - Street 1:6818 S ALASKA ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-1325
Practice Address - Country:US
Practice Address - Phone:253-720-1889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2024-05-06
Deactivation Date:2019-11-14
Deactivation Code:
Reactivation Date:2020-01-03
Provider Licenses
StateLicense IDTaxonomies
WAAP61336670363LP2300X
WA60065154163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse