Provider Demographics
NPI:1013729268
Name:MCBRIDE, TERESA CHRISTINE
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:CHRISTINE
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 1:8278 COUNTY ROAD P37
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-6511
Mailing Address - Country:US
Mailing Address - Phone:402-301-8403
Mailing Address - Fax:
Practice Address - Street 1:8278 COUNTY ROAD P37
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-6511
Practice Address - Country:US
Practice Address - Phone:402-301-8403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider