Individual
IRINA VESOLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
712 JAY ST, FOSSIL, OR 97830-8371
(541) 763-2725
(541) 763-2850
Mailing address
7518 ORIENT AVE, KANSAS CITY, KS 66112-2832
(407) 868-7515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10015616
OR
363LF0000X
Family Nurse Practitioner
11025518
FL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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