Provider Demographics
NPI:1053155036
Name:MCBRIDE, CIARA MICHELLE
Entity type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:MICHELLE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CIARA
Other - Middle Name:MICHELLE
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 CREEKWOOD RUN
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33809-4955
Mailing Address - Country:US
Mailing Address - Phone:863-368-9592
Mailing Address - Fax:
Practice Address - Street 1:160 CREEKWOOD RUN
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-4955
Practice Address - Country:US
Practice Address - Phone:863-368-9592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula