Individual provider · Type 1 NPI

Brynna A. Porch

Psychiatric/Mental Health Registered Nurse · Bloomington, IL

NPI number 1003530908 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Fax (309) 829-6808

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X041497541 (IL)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1003530908

Brynna A. Porch's National Provider Identifier is 1003530908, issued on Oct 4, 2022. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Bloomington, IL. The record was last updated on Oct 4, 2022.