Healthcare Provider Details

I. General information

NPI: 1972284677
Provider Name (Legal Business Name): NURTURING EXPRESSIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14900 INTERURBAN AVE S STE 201
TUKWILA WA
98168-4654
US

IV. Provider business mailing address

PO BOX 47163
SEATTLE WA
98146-7163
US

V. Phone/Fax

Practice location:
  • Phone: 206-763-2733
  • Fax:
Mailing address:
  • Phone: 206-763-2733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

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