Healthcare Provider Details

I. General information

NPI: 1891646014
Provider Name (Legal Business Name): MERRY ELIZABETH MCBRIDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 TOWER RD
FORSYTH MO
65653
US

IV. Provider business mailing address

PO BOX 597
FORSYTH MO
65653-0597
US

V. Phone/Fax

Practice location:
  • Phone: 913-980-9265
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: