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Individual
STACY M MCBRIDE
Active
Individual
STACY M MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3009996
KY
363LF0000X
Family Nurse Practitioner
Primary
71006073A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001009424
ANTHEM
—
05
—
201346830
—
IN
01
—
50105927
PASSPORT HEALTH PLAN
KY
05
—
7100410330
—
KY
01
—
P01609813
RAILROAD MEDICARE
IN
01
—
P01617618
RAILROAD MEDICARE
KY
Enumeration date
02/17/2016
Last updated
04/14/2026
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