Individual
MALLORY ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3000
Mailing address
7520 RED HILL DR, SPRINGFIELD, VA 22153-3937
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN1048757
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190442
VA
Other
Enumeration date
07/04/2022
Last updated
07/09/2024
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