| Liesel Tower, NP | |
|
1785 Blacktail Ln, Woodland, WA 98674-9108 | |
| (269) 547-8704 | |
| Not Available |
| Full Name | Liesel Tower |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1785 Blacktail Ln, Woodland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881053320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AP60740474 (Washington) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 201803013NP-PP (Oregon) | Secondary |
| Entity Name | Family Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Liesel Tower, NP 1785 Blacktail Ln, Woodland, WA 98674-9108 Ph: (269) 547-8704 | Liesel Tower, NP 1785 Blacktail Ln, Woodland, WA 98674-9108 Ph: (269) 547-8704 |
Kimberly A Kelsey, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1251 Lewis River Rd, Suite D, Woodland, WA 98674 Phone: 360-225-4310 Fax: 360-225-4339 | |
Mrs. Stephanie G Wesztergom, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1251 Lewis River Rd Ste D, Woodland, WA 98674 Phone: 360-225-4310 Fax: 360-225-4309 | |
Winnet Katiyo, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1251 Lewis River Rd Ste D, Woodland, WA 98674 Phone: 360-225-4310 Fax: 360-225-4339 |