Healthcare Provider Details

I. General information

NPI: 1568487288
Provider Name (Legal Business Name): KRISTIN A ROSSI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 11/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 COURT STREET THE CHESHIRE MEDICAL CENTER - DEPARTMENT OF ANESTHESIOL
KEENE NH
03431
US

IV. Provider business mailing address

580 COURT STREET THE CHESHIRE MEDICAL CENTER - DEPARTMENT OF ANESTHESIOL
KEENE NH
03431
US

V. Phone/Fax

Practice location:
  • Phone: 603-354-5454
  • Fax: 603-354-5419
Mailing address:
  • Phone: 603-354-5454
  • Fax: 603-354-5419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number044740-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: