IndividualActive
Brynna Porch
NPI 1003530908 · Psychiatric/Mental Health Registered Nurse · Bloomington, IL
Provider details
- NPI number
- 1003530908
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041497541 (IL)
Practice location
108 W Market St
Bloomington, IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808
Mailing address
108 W Market St
Bloomington, IL 61701-3918
Registry dates
- Enumerated
- 2022-10-04
- Last updated
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.