Individual
OLIVIA MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 PALMYRA RD, HANNIBAL, MO 63401-2203
(573) 221-1166
(573) 221-1214
Mailing address
3105 PALMYRA RD, HANNIBAL, MO 63401-2203
(573) 221-1166
(573) 221-1214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
094157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510622004
—
MO
Enumeration date
06/02/2014
Last updated
06/02/2014
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