Provider Demographics
NPI:1568487288
Name:ROSSI, KRISTIN A (CRNA)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:A
Last Name:ROSSI
Suffix:
Gender:F
Credentials:CRNA
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:580 COURT STREET
Mailing Address - Street 2:THE CHESHIRE MEDICAL CENTER - DEPARTMENT OF ANESTHESIOL
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431
Mailing Address - Country:US
Mailing Address - Phone:603-354-5454
Mailing Address - Fax:603-354-5419
Practice Address - Street 1:580 COURT STREET
Practice Address - Street 2:THE CHESHIRE MEDICAL CENTER - DEPARTMENT OF ANESTHESIOL
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431
Practice Address - Country:US
Practice Address - Phone:603-354-5454
Practice Address - Fax:603-354-5419
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH044740-23367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
RE6402Medicare ID - Type Unspecified