Provider Demographics
NPI:1306996350
Name:MCBRIDE, KAREN (RNFA)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 FOXFIELD WAY
Mailing Address - Street 2:SUITE 4, PMB120
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-1930
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 MOHAWK ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1780
Practice Address - Country:US
Practice Address - Phone:912-920-2090
Practice Address - Fax:912-920-4114
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN040665163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant