Individual provider · Type 1 NPI

Mikayla Mae Mannis, LPN

Licensed Practical Nurse · Shelton, WA

NPI number 1942162292 Active

Practice location

307 W Cota St
Shelton, WA 98584-2265

Call (360) 205-8010 Map

Mailing address

4910 Orvas Ct SE
Olympia, WA 98501-4764

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP70077152 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1942162292

Mikayla Mae Mannis, LPN's National Provider Identifier is 1942162292, issued on Nov 25, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shelton, WA. The record was last updated on Oct 12, 2026.