Provider Demographics
NPI:1982020731
Name:MCBRIDE, CATHERINE ELIZABETH (RN MSN)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:MCBRIDE
Suffix:
Gender:
Credentials:RN MSN
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:MCBRIDE
Other - Last Name:MCCASKILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN MSN
Mailing Address - Street 1:137 N ACLINE ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:SC
Mailing Address - Zip Code:29560-2107
Mailing Address - Country:US
Mailing Address - Phone:803-683-6940
Mailing Address - Fax:
Practice Address - Street 1:137 N ACLINE ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:SC
Practice Address - Zip Code:29560-2107
Practice Address - Country:US
Practice Address - Phone:803-683-6940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC103843163WC1500X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health