Individual
MR. LARRY M MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-8811
(434) 315-2463
Mailing address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 392-8811
(434) 315-2463
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024164502
LICENSE
VA
Enumeration date
09/14/2006
Last updated
07/08/2007
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