Individual
NANCY K MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
370 CLINE AVE STE B3, MANSFIELD, OH 44907-1057
(419) 756-9995
(419) 756-9921
Mailing address
370 CLINE AVE STE B3, MANSFIELD, OH 44907-1057
(419) 756-9995
(419) 756-9921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-002017
OH
363AM0700X
Medical Physician Assistant
Primary
50.002017RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123320
—
OH
Enumeration date
01/23/2007
Last updated
09/04/2020
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