Provider Demographics
NPI:1891815528
Name:MCBRIDE, REBECCA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARIE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:4935 GRANBY CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3184
Mailing Address - Country:US
Mailing Address - Phone:719-388-7965
Mailing Address - Fax:719-548-9947
Practice Address - Street 1:6275 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1433
Practice Address - Country:US
Practice Address - Phone:719-592-0200
Practice Address - Fax:719-548-9947
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO178233163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management