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NPI Code Detail

MEDICARE: MS. CATHERINE ELIZABETH MCBRIDE RN MSN

MEDICARE: MS. CATHERINE ELIZABETH MCBRIDE RN MSN
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
1163WC1500XCommunity Health Registered Nurse103843SC
2163WA2000XAdministrator Registered Nurse103843SC

General Provider Information

NPI Number : 1982020731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE ELIZABETH MCBRIDE RN MSN
Provider Business Mailing Address
First Line : 137 N ACLINE ST
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-2107
Country : US
Telephone Number : 803-683-6940
Fax Number :
Provider Business Practice Location Address
First Line : 137 N ACLINE ST
Second Line :
City : LAKE CITY
State : SC
Zip : 29560-2107
Country : US
Telephone Number : 803-683-6940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2014
Last Update Date : 02/20/2025

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