Healthcare Provider Details

I. General information

NPI: 1811445141
Provider Name (Legal Business Name): NURTURING EXPRESSIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19950 7TH AVE NE SUITE 102
POULSBO WA
98370-4476
US

IV. Provider business mailing address

PO BOX 47163
SEATTLE WA
98146-7163
US

V. Phone/Fax

Practice location:
  • Phone: 360-930-0218
  • Fax: 360-930-8383
Mailing address:
  • Phone: 206-763-2733
  • Fax: 206-763-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateWA

VIII. Authorized Official

Name: TRACY COREY
Title or Position: CEO, CO-OWNER
Credential: RN, IBCLC, CFM
Phone: 206-763-2733