Healthcare Provider Details

I. General information

NPI: 1275687840
Provider Name (Legal Business Name): NURTURING EXPRESSIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4746 44TH AVE SW SUITE 201
SEATTLE WA
98116-4489
US

IV. Provider business mailing address

4746 44TH AVE SW SUITE 201
SEATTLE WA
98116-4489
US

V. Phone/Fax

Practice location:
  • Phone: 206-763-2733
  • Fax: 206-763-2122
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 TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number602428382
License Number StateWA

VIII. Authorized Official

Name: TRACY COREY
Title or Position: OWNER
Credential: RN
Phone: 206-763-2733