Individual
DINA MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 400, VANCOUVER, WA 98664-3290
(360) 514-4444
(360) 514-6530
Mailing address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2000
(360) 514-3932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60000871
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61060253
WA
Other
Enumeration date
01/26/2021
Last updated
07/19/2021
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