Provider Demographics
NPI:1477708600
Name:KOLOSKI-LUI, NANCY ANNE (RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANNE
Last Name:KOLOSKI-LUI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5280 BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:YANKEE HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95965-9295
Mailing Address - Country:US
Mailing Address - Phone:530-534-3079
Mailing Address - Fax:
Practice Address - Street 1:592 RIO LINDO AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1817
Practice Address - Country:US
Practice Address - Phone:530-891-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA621118163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health