Individual
VENESSA MARIE MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3966
CO
363A00000X
Physician Assistant
PA06838
TX
363AM0700X
Medical Physician Assistant
Primary
PA.0003966
CO
Other
Enumeration date
08/02/2010
Last updated
06/02/2026
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