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Mrs. Vanessa Kelly Mizak, FNP-C,AGCNS-BC
Nurse Practitioner in Corvallis, Oregon
NPI 1669860979

Vanessa Kelly Mizak is a Nurse Practitioner based in Corvallis, OR. Vanessa Kelly Mizak practices in Corvallis, OR and has the professional credentials of FNP-C,AGCNS-BC. The NPI Number for Vanessa Kelly Mizak is 1669860979 and holds a License No. 0993810 (Oregon).

The current practice location address for Vanessa Kelly Mizak is 3600 Nw Samaritan Dr Ste 227, Corvallis, OR and can be reached out via phone at 541-768-1261.

Location: 3600 Nw Samaritan Dr Ste 227, Corvallis, OR, 97339-1189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669860979
Provider Name
Vanessa Kelly Mizak
Credential
FNP-C,AGCNS-BC
Provider Entity Type
Individual
Gender
Female
Address
3600 Nw Samaritan Dr Ste 227, Corvallis, OR, 97339-1189
Phone Number
541-768-1261
Fax Number
Provider Enumeration Date
01/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85780073 05 CO
P01618686 01 CO MCR RAILROAD
institution
Provider Business Practice Location Address Details
Address
3600 Nw Samaritan Dr Ste 227
City
Corvallis
State
Oregon
Zip
97330-3737
Phone Number
541-768-1261
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Nw Samaritan Dr Ste 227
City
Corvallis
State
Oregon
Zip
97330-3737
Phone Number
541-768-1261
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APN.0991563-CNS (Colorado)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201804762CNS (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
0993810 (Colorado)
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
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