Provider Demographics
NPI:1790845519
Name:MCBRIDE, ELLEN BOWERS (MD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:BOWERS
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W PLUMB LN # B464
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3468
Mailing Address - Country:US
Mailing Address - Phone:775-432-2200
Mailing Address - Fax:777-543-2299
Practice Address - Street 1:540 W PLUMB LN
Practice Address - Street 2:SUITE 1B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3467
Practice Address - Country:US
Practice Address - Phone:775-432-2200
Practice Address - Fax:775-432-2992
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV90502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry