Porco-Smith, Brenda Diane

Porco-Smith, Brenda Diane is an sole proprietor health care provider with primary practice located at 6710 W Okanogan Place , Kennewick WA 99336. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Porco-Smith, Brenda Diane can be contacted via phone (509) 783-2000.

Contact Information

Primary practice address
6710 W Okanogan Place Kennewick WA 99336
Phone: (509) 783-2000
Fax: (509) 783-2008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 352639 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60194888 Washington

Profile Details

NPI number 1104993179
LBN Legal business name Porco-Smith, Brenda Diane
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 6th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104993179 NPPES
Washington MEDICAID 1104993179

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