# KATHERINE J. MIKITA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992942627
- **Authorized official:** MS. KATHERINE J. MIKITA GNP/ARNP (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (253) 752-6621

## Contact information

- **Practice address:** 5340 N BRISTOL ST, TACOMA, WA 98407-2204
- **Practice address phone:** (253) 752-6621
- **Practice address fax:** (253) 756-7179
- **Mailing address:** 5340 N BRISTOL ST, TACOMA, WA 98407-2204
- **Mailing address phone:** (253) 752-6621
- **Mailing address fax:** (253) 756-7179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 452 | WA | Yes |

## Other

- **Enumeration date:** 01/16/2009
- **Last updated:** 01/16/2009