Individual
MS. MICHELLE W ROSECRANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
310171
NC
163W00000X
Registered Nurse
36260
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
310171
NC
367500000X
Certified Registered Nurse Anesthetist
711
SC
Other
Enumeration date
07/21/2006
Last updated
01/31/2019
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