Individual
MISS TAUSHIA MONIQUE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
1022 FOXCHASE LN, ESSEX, MD 21221-5901
(410) 499-0139
Mailing address
1022 FOXCHASE LN, ESSEX, MD 21221-5901
(410) 499-0139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R197362
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R197362
NURSING LICENSE
MD
Enumeration date
02/07/2019
Last updated
02/07/2019
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