Logo Cancer Genetics Risk Assessment
A service provided by Perinatal Associates of Northern Nevada, LLP

About us:
The cancer genetics risk assessment service is provided by the team of: Medical Geneticist R. Nathan Slotnick, MD, PhD, Genetic Counselor Brandy M. Freschi (Smolnik), MS, CGC and Genetic Counselor Erica J. Wellington, MS

R. Nathan Slotnick, MD, Ph.D.

Dr. Slotnick is a west coast product (born in Tacoma, WA) who returned to the west (to Reno) from Virginia in 2003. His education and career have taken him to Chicago, New York, Pittsburgh, San Francisco, Sacramento and Virginia. He is quite happy to have settled in Northern Nevada.

  • BS and MS from the University of Washington in Molecular Genetics
  • MA and PhD from the State University of New York, Buffalo
  • MD from University of Pittsburgh
  • Residency and Fellowship training at University of California San Francisco

Academic Career

Instructor at the University of California, San Francisco
Assistant Professor at the University of California, Davis (Maternal-Fetal Medicine)
Associate Professor at Eastern Virginia Medical School (Maternal-Fetal Medicine)

Research Interests

Fetal and neonatal dysmorphology and genetics
Diagnostic and screening tests in pregnancy
Fetal therapies
Stem Cell biology and therapies
Immunology of Pregnancy

Brandy M. Freschi (Smolnik), MS, CGC

Brandy grew up in New Castle, Pennsylvania, a small town about 1 hour outside of Pittsburgh, PA. She then moved to the city of Pittsburgh where she spent about 8 years both working and going to college. In June of 2007, her career as a genetic counselor brought her to Reno, NV, where she is now married and shares her home with her husband Justin, her cat Bella, and dog Elvis.

  • Bachelor of Science (BS) from the University of Pittsburgh: Double major in Interdisciplinary Studies (concentrating on the Biology & Psychology of Health) and History & Philosophy of Science
  • Master of Science (MS) from the University of Pittsburgh: Genetic Counseling
  • Certified Genetic Counselor (CGC) from the American Board of Genetic Counseling
  • City of Hope Intensive Course in Cancer Risk Assessment Graduate
Academic Career

While obtaining her Masters degree in genetic counseling, Brandy gained experience in prenatal, cancer, adult, and pediatric genetic counseling. During this time, she was also involved in researching the genetics of type 1 (juvenile-onset) diabetes.
In her professional career, Brandy has presented numerous lectures for students, the public, and other medical professionals.
Brandy was featured in two issues of Renown Journey, the publication of the Renown Institute for Cancer.

Erica J. Wellington, MS

Erica grew up outside Boston, MA before attending college in upstate New York and returning to Boston for graduate school. During school she traveled to London and Honolulu, and her latest adventure brings her to Reno in June 2012. She is excited to be living in a new city and to be part of the team at Perinatal Associates.

  • BA from the University of Rochester with a major in Health and Society and minors in Biology and Medical Ethics
  • Master of Science (MS) in Genetic Counseling from Brandeis University
  • City of Hope Intensive Course in Cancer Risk Assessment Graduate
Academic Career

During her graduate education, Erica completed rotations in prenatal, cancer, pediatric and general genetics. Her thesis, "Cystic Fibrosis Carrier Screening: Current Practices and Challenges in Genetic Counseling" was partially funded by a Jane Engelberg Memorial Fellowship and was accepted for a poster session at the 2012 NSGC Conference. She is a member of the National Society of Genetic Counselors (NSGC) and was previously secretary of the New England Regional Genetics Group. Before becoming a genetic counselor she worked in health promotion and fertility research.

Genetic Counseling Services

Brandy and Erica provide genetic consultations for all prenatal indications including, but not limited to: advanced maternal age, family history of a genetic disease/birth defect, first trimester screening, multiple marker (AFP) screening, chorionic villus sampling (CVS), amniocentesis, and ultrasound findings. In addition, they provide hereditary cancer risk assessments and testing for family and personal histories of cancers such as breast, ovarian, uterine, and colon cancer.

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