Whalio Doctors

NPI 1003530908

Brynna a Porch

Practitioner Psychiatric/Mental Health Registered Nurse Bloomington, IL

Practice location

Address
108 W Market St, Bloomington, IL 61701-3918
Phone
(309) 827-5351
Fax
(309) 829-6808

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0808X Licence 041497541 (IL)

Registry record

NPI
1003530908
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Oct 2022
Record last updated
4 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.