Provider Demographics
NPI:1841754595
Name:MCBRIDE, ERIN R (AGNP-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 SAM RITTENBERG BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5031
Mailing Address - Country:US
Mailing Address - Phone:843-973-5393
Mailing Address - Fax:833-994-1098
Practice Address - Street 1:1401 SAM RITTENBERG BLVD STE 6
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5031
Practice Address - Country:US
Practice Address - Phone:843-973-5393
Practice Address - Fax:833-994-1098
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSCE469L064OtherMEDICARE