IndividualActive
Irina Vesolowski, FNP
NPI 1811775976 · Family Nurse Practitioner · Fossil, OR
Provider details
- NPI number
- 1811775976
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11025518 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
712 Jay St
Fossil, OR 97830-8371
Phone: (541) 763-2725
Fax: (541) 763-2850
Approximate (ZIP-level) locationGet directions
Mailing address
7518 Orient Ave
Kansas City, KS 66112-2832
Registry dates
- Enumerated
- 2023-09-20
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.