AMY LAUREN KOLESIAK N.P.-C NPI 1417137571

NPI Information

Amy Lauren Kolesiak, N.P.-C is an acute care nurse practitioner in Rancho Cucamonga, CA. Amy Lauren Kolesiak, N.P.-C NPI is 1417137571. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10565 CIVIC CENTER DR BLDG SUITE165
RANCHO CUCAMONGA, CA
ZIP 91730-853
Phone: (909) 985-2211
Fax: (909) 985-2244

The NPI 1417137571 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 4/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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