Organization
NURTURING EXPRESSIONS LLC
Active
Parent organization
NURTURING EXPRESSIONS LLC
Other names
Optimum Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
NURTURING EXPRESSIONS LLC
Authorized official
TRACY COREY RN, IBCLC, CFM (CEO, CO-OWNER)
(206) 763-2733
Entity
Organization
Contact information
Practice address
19950 7TH AVE NE SUITE 102, POULSBO, WA 98370-4476
(360) 930-0218
(360) 930-8383
Mailing address
PO BOX 47163, SEATTLE, WA 98146-7163
(206) 763-2733
(206) 763-2122
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9055575
—
WA
Enumeration date
09/15/2016
Last updated
06/04/2021
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