MEDICARE: KRISTY ROSSI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	100355	SC

General Provider Information

NPI Number	:	1427874106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTY ROSSI

Provider Business Mailing Address
First Line	:	6053 DAPHNE CIR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6577
Country	:	US
Telephone Number	:	843-227-2694
Fax Number	:

Provider Business Practice Location Address
First Line	:	6053 DAPHNE CIR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6577
Country	:	US
Telephone Number	:	843-227-2694
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2024
Last Update Date	:	11/27/2024

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Directions to “ KRISTY ROSSI ” Practice Location

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