Irina Vesolowski, FNP | |
712 Jay St, Fossil, OR 97830-8371 | |
(541) 763-2725 | |
(541) 763-2850 |
Full Name | Irina Vesolowski |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 712 Jay St, Fossil, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811775976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11025518 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10015616 (Oregon) | Primary |
Entity Name | Asher Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811937485 PECOS PAC ID: 2163460726 Enrollment ID: O20070608000181 |
Mailing Address | Practice Location Address |
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Irina Vesolowski, FNP 7518 Orient Ave, Kansas City, KS 66112-2832 Ph: (407) 868-7515 | Irina Vesolowski, FNP 712 Jay St, Fossil, OR 97830-8371 Ph: (541) 763-2725 |
Mrs. Janet Leee Ridgley, WHCNP/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 712 Jay St, Fossil, OR 97830 Phone: 541-763-2725 Fax: 541-763-2850 | |
Deborah Warren Malone, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 712 Jay St, Asher Community Health Center, Fossil, OR 97830 Phone: 541-763-2725 |