IndividualActive
Dina Mazur, NURSE PRACTITIONER
NPI 1154912897 · Gerontology Nurse Practitioner · Vancouver, WA
Provider details
- NPI number
- 1154912897
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 60000871 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
200 Ne Mother Joseph Pl Ste 400
Vancouver, WA 98664-3290
Phone: (360) 514-4444
Fax: (360) 514-6530
Approximate (ZIP-level) locationGet directions
Mailing address
400 Ne Mother Joseph Pl
Vancouver, WA 98664-3200
Additional practice locations (1)
- 400 Ne Mother Joseph PlVancouver, WA 98664-3200Phone: (360) 514-2000Fax: (360) 514-3932
Registry dates
- Enumerated
- 2021-01-26
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.