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Ms. Coriander Kathryn Heridia, NP
Family Nurse Practitioner in Tukwila, Washington
NPI 1598748345

Coriander Kathryn Heridia is a Family Nurse Practitioner based in Edgewood, WA and is specialized in Family. Coriander Kathryn Heridia practices in Tukwila, WA and has the professional credentials of NP. The NPI Number for Coriander Kathryn Heridia is 1598748345 and holds a License No. 9208153 (Washington).

The current practice location address for Coriander Kathryn Heridia is 12844 Military Rd S, Tukwila, WA and can be reached out via phone at 253-324-5005.

Location: 12844 Military Rd S, Tukwila, WA, 98372-6011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598748345
Provider Name
Coriander Kathryn Heridia
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12844 Military Rd S, Tukwila, WA, 98372-6011
Phone Number
253-324-5005
Fax Number
Provider Enumeration Date
11/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001157200 05 FL
Y00KX 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
12844 Military Rd S
City
Tukwila
State
Washington
Zip
98168-3045
Phone Number
253-324-5005
Fax Number
person
Provider Business Mailing Address Details
Address
12844 Military Rd S
City
Tukwila
State
Washington
Zip
98168-3045
Phone Number
253-324-5005
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9208153 (Florida)
Definition
Definition to come...
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