Provider Demographics
NPI:1730925066
Name:MOVING FORWARD WASHINGTON, PLLC
Entity type:Organization
Organization Name:MOVING FORWARD WASHINGTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEHEMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARATE-ROURKE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP-BC, ARNP
Authorized Official - Phone:425-407-2771
Mailing Address - Street 1:1721 HEWITT AVE STE 506
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-3546
Mailing Address - Country:US
Mailing Address - Phone:425-407-2771
Mailing Address - Fax:425-484-1384
Practice Address - Street 1:1721 HEWITT AVE STE 506
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3546
Practice Address - Country:US
Practice Address - Phone:425-407-2771
Practice Address - Fax:425-484-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty