Individual
MARIE KATHRYN ROSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
674 NORTH GREER, NIXA, MO 65714
(417) 459-7219
Mailing address
674 NORTH GREER, NIXA, MO 65714
(417) 459-7219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004007325
MO
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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