Individual
CYNTHIA D ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1 LINCOLN PKWY, STE 300, HATTIESBURG, MS 39402-3262
(601) 579-4440
(601) 579-4460
Mailing address
1 LINCOLN PKWY, STE 300, HATTIESBURG, MS 39402-3262
(601) 579-4440
(601) 579-4460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R614505
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125874
—
MS
Enumeration date
09/26/2006
Last updated
07/08/2007
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