Bryan Kristoffer Gonzales Gomez
Individual provider Active NPI Registered Nurse · Steilacoom, WA
NPI 1609514397 · NPPES record last updated Oct 4, 2025
Key facts
- NPI
- 1609514397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN61075740 (WA)
- Practice address
- 1610 Lafayette St
P.O Box 881009
Steilacoom, WA 98388-1307 - Phone
- (347) 909-8738
- NPI assigned
- May 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61075740 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61075740 | WA | Yes |
Addresses
Primary practice location
1610 Lafayette St
P.O Box 881009
Steilacoom, WA 98388-1307
Mailing address
1610 Lafayette St
P.O Box 881009
Steilacoom, WA 98388-1307
Other providers in Steilacoom, WA
- Leonie Edwards
- Micah Elliot
- Erica A Flores
- Sabrina Mateo Gan
- Brianne Giovannini
- Jocelyn Moniquie Grant
- Rachel Hall
- Betty Lucille Hanna
- Kristine Loree Harper
- Dani Hart
All providers in Steilacoom, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.