Healthcare Provider Details

I. General information

NPI: 1730044371
Provider Name (Legal Business Name): HEALING HANDS PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14900 INTERURBAN AVE S STE 269
TUKWILA WA
98168-4635
US

IV. Provider business mailing address

14900 INTERURBAN AVE S STE 269
TUKWILA WA
98168-4635
US

V. Phone/Fax

Practice location:
  • Phone: 206-701-9799
  • Fax:
Mailing address:
  • Phone: 206-701-9799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KARREN CORREGIDOR
Title or Position: MANAGER
Credential: FNP-C
Phone: 206-701-9799