Individual
BRENDA DIANE PORCO-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6710 W OKANOGAN PLACE, KENNEWICK, WA 99336
(509) 783-2000
(509) 783-2008
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60194888
WA
364S00000X
Clinical Nurse Specialist
352639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104993179
—
WA
Enumeration date
11/29/2006
Last updated
07/06/2015
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