Provider Demographics
NPI:1477037919
Name:MCBRIDE, KARLEE ALAYNE
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:ALAYNE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12222 VISTA REAL
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77510-4036
Mailing Address - Country:US
Mailing Address - Phone:409-370-8420
Mailing Address - Fax:
Practice Address - Street 1:12222 VISTA REAL
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:TX
Practice Address - Zip Code:77510-4036
Practice Address - Country:US
Practice Address - Phone:409-370-8420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX948571163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse