Individual
BRYANT MOTYKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
505 NE 87TH AVE STE 320, VANCOUVER, WA 98664-1965
(360) 514-2550
(360) 514-1927
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.018590
IL
363LF0000X
Family Nurse Practitioner
AP61018849
WA
Other
Enumeration date
03/29/2019
Last updated
05/13/2021
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