Individual
CASSANDRA M MOTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
725 S WEBSTER AVE STE 201, GREEN BAY, WI 54301
(920) 430-7100
(920) 430-7114
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195907-30
WI
363LF0000X
Family Nurse Practitioner
4704345763
MI
363LF0000X
Family Nurse Practitioner
Primary
8621-33
WI
Other
Enumeration date
07/13/2018
Last updated
12/30/2019
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