| 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 | Medtriq LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841605524 PECOS PAC ID: 9133348766 Enrollment ID: O20140915000678 |
| 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 |
Vincent J Meno, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Dee Creek Rd, Woodland, WA 98674 Phone: 562-716-8858 |
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 |
Jennifer Lauren Matson, ARNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Bozarth Ave Ste A, Woodland, WA 98674 Phone: 360-226-8886 Fax: 360-646-8502 |