Individual
MRS. GWYNETTA HURST ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2424 W HOLCOMBE ST., HOUSTON, TX 77025
(302) 674-4700
(302) 744-7181
Mailing address
3607 MUSTANG LN, MANVEL, TX 77578-3577
(713) 824-6568
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
678786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y0140
BLUE CROSS BLUE SHIELD
TX
01
—
8Y0141
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/15/2006
Last updated
12/26/2012
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