Individual provider · Type 1 NPI

Dina Mazur, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Vancouver, WA

NPI number 1154912897 Active

Practice location

200 NE Mother Joseph Pl Ste 400
Vancouver, WA 98664-3290

Fax (360) 514-6530

Mailing address

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200

Other practice locations

  • 400 NE Mother Joseph Pl, Vancouver, WA 98664-3200 · (360) 514-2000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X60000871 (WA)
Gerontology Nurse Practitioner Primary 363LG0600XAP61060253 (WA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1154912897

Dina Mazur, NURSE PRACTITIONER's National Provider Identifier is 1154912897, issued on Jan 26, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Vancouver, WA. The record was last updated on Jul 19, 2021.