Individual
TRACY COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
8115 4TH AVE SW, SEATTLE, WA 98106-2153
(206) 763-2733
(206) 762-0746
Mailing address
PO BOX 47163, SEATTLE, WA 98146-7163
(206) 819-4575
(206) 762-0746
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN00095694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9055575
—
WA
Enumeration date
01/09/2007
Last updated
06/04/2021
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