Provider Demographics
NPI:1396197109
Name:MCBRIDE BARR, RENATA (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:RENATA
Middle Name:
Last Name:MCBRIDE BARR
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 WOODBRIDGE XING
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-1464
Mailing Address - Country:US
Mailing Address - Phone:440-285-5944
Mailing Address - Fax:
Practice Address - Street 1:118 WOODBRIDGE XING
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-1464
Practice Address - Country:US
Practice Address - Phone:440-285-5944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 258966163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse