Heridia, Coriander Kathryn

Heridia, Coriander Kathryn is an individual health care provider with primary practice located at 12844 Military Rd S , Tukwila WA 98168-3045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Heridia, Coriander Kathryn can be contacted via phone (253) 324-5005.

Contact Information

Primary practice address
12844 Military Rd S Tukwila WA 98168-3045
Phone: (253) 324-5005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9208153 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9208153 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP.AP.60265319-NP Washington

Profile Details

NPI number 1598748345
LBN Legal business name Heridia, Coriander Kathryn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Mar 8th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598748345 NPPES
Florida MEDICAID 001157200
Florida Other Y00KX

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