Healthcare Provider Details

I. General information

NPI: 1477135283
Provider Name (Legal Business Name): FRANK EDWARD SZCZESNIAK III RN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2370 ANSELMO DR
CORONA CA
92879-7106
US

IV. Provider business mailing address

2765 BROOKSIDE DR
CHINO HILLS CA
91709-5934
US

V. Phone/Fax

Practice location:
  • Phone: 909-896-5245
  • Fax:
Mailing address:
  • Phone: 909-896-5245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPF95014075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: