| Doctor Name: | DEBORAH HODGE MCBRIDE |
| NPI Number: | 1861581886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-086040 |
| Business Practice Address: | 300 S. Twining Street, #760 42nd Medical Group Maxwell Afb, AL - 36112 |
| Business Phone Number: | 3349533968 |
| Business Fax Number: | |
| Mailing Address: | 1066 Arrowhead Dr, PRATTVILLE |
| State: | AL |
| Postal Code: | 360677067 |
| Phone Number: | 3343652825 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1-086040 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |