Provider Demographics
NPI:1962816165
Name:BUZAS, MARINELA (RN)
Entity Type:Individual
Prefix:
First Name:MARINELA
Middle Name:
Last Name:BUZAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 NE WORK AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2159
Mailing Address - Country:US
Mailing Address - Phone:360-314-5448
Mailing Address - Fax:360-993-7734
Practice Address - Street 1:4613 NE WORK AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2159
Practice Address - Country:US
Practice Address - Phone:360-314-5448
Practice Address - Fax:360-993-7734
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60448928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse