Doctor Name: | STEPHANEE ROSSI |
NPI Number: | 1992168157 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 2000160156 |
Business Practice Address: | 440 Hometown Plaza Dr # 1 Owensville, MO - 650661596 |
Business Phone Number: | 5734376100 |
Business Fax Number: | |
Mailing Address: | 1 Somerfield Dr, UNION |
State: | MO |
Postal Code: | 630844929 |
Phone Number: | 3147539208 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2000160156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |