Individual
SEAN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(949) 701-7104
Mailing address
5860 W TARGEE ST, BOISE, ID 83709-3149
(949) 701-7104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4971365
ID
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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