Individual
MRS. SHYANNE MARIE ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FUNCTIONAL MEDICINE
Contact information
Practice address
101 INDUSTRIAL PKWY, GALLATIN, MO 64640-7418
(660) 663-2423
(660) 663-2517
Mailing address
101 INDUSTRIAL PKWY, GALLATIN, MO 64640-7418
(660) 663-2423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021003417
MO
Other
Enumeration date
02/27/2023
Last updated
07/09/2024
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