Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 9220144 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9220144 | FL |
NPI | 1639651615 |
---|---|
Provider Name | Ms. Stormy Gale Mcbride |
First Address | Hallandale Beach, FL 33009-2910 |
Second Address | Miami, FL 33136-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2018 |
Last Update Date | 26/02/2021 |