IndividualActive
Amy Kolesiak, N.P.-C
NPI 1417137571 · Acute Care Nurse Practitioner · Rancho Cucamonga, CA
Provider details
- NPI number
- 1417137571
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95010259 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10565 Civic Center Dr Bldg Suite165
Rancho Cucamonga, CA 91730-3853
Phone: (909) 985-2211
Fax: (909) 985-2244
Approximate (ZIP-level) locationGet directions
Mailing address
10565 Civic Center Dr Bldg Suite165
Rancho Cucamonga, CA 91730-3853
Additional practice locations (1)
- 1435 E Route 66 Ste CGlendora, CA 91740-3748Phone: (909) 575-7079Fax: (626) 963-0262
Registry dates
- Enumerated
- 2007-11-06
- Last updated
- 2019-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.