Individual
DR. CORRANDA KOSCIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, DHA
Contact information
Practice address
26531 YNEZ RD, TEMECULA, CA 92591-4630
(180) 022-7990
Mailing address
26531 YNEZ RD, TEMECULA, CA 92591-4630
(180) 022-7990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPF 11501
CA
363LX0106X
Occupational Health Nurse Practitioner
NPF 11501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000
—
CA
Enumeration date
09/23/2016
Last updated
09/23/2016
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