Healthcare Provider Details

I. General information

NPI: 1770412413
Provider Name (Legal Business Name): REBECCA TRAYNHAM APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 N COLORADO ST STE A
KENNEWICK WA
99336-7845
US

IV. Provider business mailing address

510 N COLORADO ST STE A
KENNEWICK WA
99336-7845
US

V. Phone/Fax

Practice location:
  • Phone: 509-942-6020
  • Fax: 509-942-6049
Mailing address:
  • Phone: 509-942-6020
  • Fax: 509-942-6049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP.70136780
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberAP.70136780
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License NumberAPN.1001107-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: