Individual
CYNTHIA ROSENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 13TH ST, SECOND FLOOR MAIN TOWER, GULFPORT, MS 39501
(228) 865-3281
(228) 867-5117
Mailing address
4500 13TH ST, SECOND FLOOR MAIN TOWER, GULFPORT, MS 39501
(228) 865-3281
(228) 867-5117
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901632
MS
367500000X
Certified Registered Nurse Anesthetist
AP01399
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393967
—
LA
Enumeration date
12/01/2005
Last updated
08/14/2020
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