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MOONSHOT PSYCHIATRIC NURSE PRACTITIONER P.C.

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Company Details

Legal Name: MOONSHOT PSYCHIATRIC NURSE PRACTITIONER P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 16th 2023
Expiration date: 30 Jun 2026
UBI Number: 605 274 420
ZIP code: 98043
City: Mountlake Terrace
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 22406 68TH AVE W, MOUNTLAKE TER, WA, 98043-2372, UNITED STATES

Contact Details

E-Mail: FOUNDERS@JOINLAVENDER.COM

Nature of Business

REGISTERED NURSE

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Registered Agent Information

Name Role
PACIFIC REGISTERED AGENTS, INC. Registered Agent

Key Officers & Management

Name Role Address
PRITMA DHILLON-CHATTHA Governing Person -
BRIGHID GANNON Governing Person -
BRIGHID GANNON Incorporator 22406 68TH AVE W, MOUNTLAKE TER, WA, 98043-2372, UNITED STATES
PRITMA DHILLON-CHATTHA Incorporator 22406 68TH AVE W, MOUNTLAKE TER, WA, 98043-2372, UNITED STATES

National Provider Identifier

NPI Number:
1669158879
Certification Date:
2025-01-29

Authorized Person:

Name:
BRIGHID GANNON
Role:
CO-FOUNDER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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