| Mrs Stephanie G Wesztergom, ARNP | |
|
1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 | |
| (360) 225-4310 | |
| (360) 225-4309 |
| Full Name | Mrs Stephanie G Wesztergom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1251 Lewis River Rd Ste D, 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 |
|---|---|---|---|
| 1497715882 | NPI | - | NPPES |
| 2228053 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP30007922 (Washington) | Primary |
| Entity Name | Cowlitz Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891724506 PECOS PAC ID: 5991696395 Enrollment ID: O20040324000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stephanie G Wesztergom, ARNP 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 636-3892 | Mrs Stephanie G Wesztergom, ARNP 1251 Lewis River Rd Ste D, Woodland, WA 98674-9203 Ph: (360) 225-4310 |
Kimberly A Kelsey, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1251 Lewis River Rd, Suite D, Woodland, WA 98674 Phone: 360-225-4310 Fax: 360-225-4339 | |
Liesel Tower, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1785 Blacktail Ln, Woodland, WA 98674 Phone: 269-547-8704 | |
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 |