Individual provider · Type 1 NPI

Vanessa Kelly Mizak, FNP-C, AGCNS-BC

Nurse Practitioner · Corvallis, OR

NPI number 1669860979 Active

Practice location

3600 NW Samaritan Dr Ste 227
Corvallis, OR 97330-3737

Call (541) 768-1261 Map

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations

  • 3680 NW Samaritan Dr, Corvallis, OR 97330 · (541) 754-1150
  • 3640 NW Samaritan Dr Ste 110, Corvallis, OR 97330-3787 · (541) 768-1261

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0993810 (CO)
Clinical Nurse Specialist 364S00000X201804762CNS (OR)
Clinical Nurse Specialist 364S00000XAPN.0991563-CNS (CO)
Nurse Practitioner Primary 363L00000X201804760NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669860979

Vanessa Kelly Mizak, FNP-C, AGCNS-BC's National Provider Identifier is 1669860979, issued on Jan 8, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Corvallis, OR. The record was last updated on Sep 13, 2021.