Doctor Name: | MRS. BRITTLYN SHEA MCBRIDE |
NPI Number: | 1093066557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 5601006471 |
Business Practice Address: | 2350 East G Ave Parchment, MI - 490041943 |
Business Phone Number: | 2693446183 |
Business Fax Number: | 2693493046 |
Mailing Address: | 2350 East G Ave, PARCHMENT |
State: | MI |
Postal Code: | 490041943 |
Phone Number: | 2693446183 |
Fax Number: | 2693493046 |
NPI Enumeration Date: | 09/25/2012 |
NPI Last Update Date: | 01/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 5601006471 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |