Individual
DOROTHY MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6900
Mailing address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6900
(406) 293-6622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10803
MT
363LW0102X
Women's Health Nurse Practitioner
RN10803
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528125390
BCBS
MT
05
—
1528125390
—
MT
Enumeration date
01/02/2007
Last updated
08/09/2012
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