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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. VANESSA KELLY MIZAK, FNP-C, AGCNS-BC

Active

MRS. VANESSA KELLY MIZAK, FNP-C, AGCNS-BC is a Nurse Practitioner healthcare provider located in CORVALLIS, Oregon. NPI 1669860979 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · CORVALLIS, OR

Registration Details

NPI Number
1669860979
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2015 (11.62828644987 yrs)
Last Updated
Sep 13, 2021
Licenses
0993810 (CO)
201804762CNS (OR)
APN.0991563-CNS (CO)
201804760NP-PP (OR)

Practice Information

Address
3600 NW SAMARITAN DR STE 227
CORVALLIS, OR, 973303737
Browse OR providers · Browse ZIP 97330
Phone
5417681261
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Clinical Nurse Specialist
Additional Specialty
Clinical Nurse Specialist
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in CORVALLIS, OR

Name Credential NPI
HOLLY T ALMOND NP 1649233503
SUSAN A CORCORAN FNP, CNM 1902863467
ANGELA K REPLOEG F.N.P. 1205886025
CYNTHIA D RODRIGUEZ FNP 1427009497
MS. DEIDRE I GREENE ANP 1114963568
MS. KIMBERLY D. MONTAGNE FNP 1932136967
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.