Provider Demographics
NPI:1205090313
Name:LORENZ FORBES, ALISON NICOLE (ARNP)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:NICOLE
Last Name:LORENZ FORBES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:NICOLE
Other - Last Name:LORENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 34703
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1703
Mailing Address - Country:US
Mailing Address - Phone:206-764-3335
Mailing Address - Fax:206-764-0489
Practice Address - Street 1:1010 E COLLEGE WAY
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5624
Practice Address - Country:US
Practice Address - Phone:360-542-8920
Practice Address - Fax:360-542-8930
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA103TP0016X
WAAP60030065363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)