| Doctor Name: | ANGANETTE MCBRYDE |
| NPI Number: | 1447236047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN CNS |
| License Number: | R0875235 |
| Business Practice Address: | 3800 Park Nicollet Blvd Saint Louis Park, MN - 554162527 |
| Business Phone Number: | 9529933307 |
| Business Fax Number: | |
| Mailing Address: | 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554254516 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2005 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | R0875235 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |