Healthcare Provider Details

I. General information

NPI: 1447876685
Provider Name (Legal Business Name): STARMEYA MCBRIDE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 CENTER POINT PKWY STE 101
BIRMINGHAM AL
35215-5675
US

IV. Provider business mailing address

180 STONEY BROOK LN APT 105
FULTONDALE AL
35068-1758
US

V. Phone/Fax

Practice location:
  • Phone: 205-203-2358
  • Fax:
Mailing address:
  • Phone: 205-203-2358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number1-158483
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: