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Individual
TRACY L. MCBRIDE
Active
Individual
TRACY L. MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001448A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000659189
ANTHEM
IN
05
—
200416420
—
IN
Enumeration date
05/01/2006
Last updated
07/21/2015
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