| Doctor Name: | CRISTY CAY ROSENCRANS |
| NPI Number: | 1134436462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,CCM,PLNC |
| License Number: | 2003015958 |
| Business Practice Address: | 126 Missouri Ave # 1268 Fort Leonard Wood, MO - 654738952 |
| Business Phone Number: | 5735965337 |
| Business Fax Number: | 5735965362 |
| Mailing Address: | 910 Belshe St, RICHLAND |
| State: | MO |
| Postal Code: | 655567879 |
| Phone Number: | 5735961677 |
| Fax Number: | 5735965362 |
| NPI Enumeration Date: | 09/08/2010 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 2003015958 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |