Healthcare Provider Details

I. General information

NPI: 1063243400
Provider Name (Legal Business Name): MAOLEI ZHU PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 09/11/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 NE 132ND ST
KIRKLAND WA
98034-2831
US

IV. Provider business mailing address

10200 NE 132ND ST
KIRKLAND WA
98034-2831
US

V. Phone/Fax

Practice location:
  • Phone: 425-821-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61581226
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: