MEDICARE: NANCY MCBRIDE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	04-30450	KS

General Provider Information

NPI Number	:	1811993231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY MCBRIDE M.D.

Provider Business Mailing Address
First Line	:	10500 QUIVIRA RD
Second Line	:	FL 3
City	:	OVERLAND PARK
State	:	KS
Zip	:	66215-2306
Country	:	US
Telephone Number	:	913-894-8500
Fax Number	:	913-492-2874

Provider Business Practice Location Address
First Line	:	10500 QUIVIRA RD
Second Line	:	FL 3
City	:	OVERLAND PARK
State	:	KS
Zip	:	66215-2306
Country	:	US
Telephone Number	:	913-894-8500
Fax Number	:	913-492-2874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/08/2007

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