Individual
ROBERTA SUZANNE MCBRIDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2729
(217) 464-1693
Mailing address
PO BOX 425, BETHANY, IL 61914-0425
(217) 665-3609
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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