Active NPI
Alena Mazurina
- Licensed Practical Nurse
- Vancouver, WA
National Provider Identifier
1174184436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60869341
- Practice address
- 4555 NE 66TH Ave
Vancouver, WA 98661-3181 - Phone
- (360) 314-6000
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60869341 | WA | Primary |
Addresses
Primary practice location
4555 NE 66TH Ave
Vancouver, WA 98661-3181
Mailing address
2210 W Main St
Ste 107, #314
Battle Ground, WA 98604-4232
Phone (360) 314-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP60869341 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1174184436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 W MAIN ST",
"address_2": "STE 107, #314",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044232",
"telephone_number": "360-314-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 NE 66TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613181",
"telephone_number": "360-314-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZURINA",
"first_name": "ALENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60869341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.