| Irina Vesolowski, FNP | |
|
712 Jay St, Fossil, OR 97830-8371 | |
| (541) 763-2725 | |
| (541) 763-2850 |
| Full Name | Irina Vesolowski |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |