Mcbride, Stormy Gale

Mcbride, Stormy Gale is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Mcbride, Stormy Gale can be contacted via phone (321) 434-1401.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-1401
Fax: (321) 434-1667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9220144 Florida
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X ARNP9220144 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9220144 Florida

Profile Details

NPI number 1639651615
LBN Legal business name Mcbride, Stormy Gale
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2018
Last updated Apr 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639651615 NPPES
Florida MEDICAID 107971300

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