Provider Demographics
NPI:1962683508
Name:SMOLNIK, BRANDY MARIE (MS)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:MARIE
Last Name:SMOLNIK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 EAST SECOND ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1181
Mailing Address - Country:US
Mailing Address - Phone:775-829-0573
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST SECOND ST
Practice Address - Street 2:SUITE 108
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1181
Practice Address - Country:US
Practice Address - Phone:775-829-0573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS