Provider Demographics
NPI:1689141236
Name:AKANNI, TOYIN A (DNP- PMHNP BC)
Entity Type:Individual
Prefix:MRS
First Name:TOYIN
Middle Name:A
Last Name:AKANNI
Suffix:
Gender:F
Credentials:DNP- PMHNP BC
Other - Prefix:MS
Other - First Name:TOYIN
Other - Middle Name:A
Other - Last Name:BADMUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13405 45TH DR SE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-4318
Mailing Address - Country:US
Mailing Address - Phone:425-344-9990
Mailing Address - Fax:
Practice Address - Street 1:1890 WAITE ST
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OR
Practice Address - Zip Code:97459-1229
Practice Address - Country:US
Practice Address - Phone:541-756-6232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201809830NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health