Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shyanne Marie Rosenbaum, FUNCTIONALMEDICINE

Individual provider Nurse Practitioner · NPI 1669171799

Mrs. Shyanne Marie Rosenbaum, FUNCTIONALMEDICINE is a Nurse Practitioner in Gallatin, Missouri. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

101 Industrial Pkwy
Gallatin, MO 64640-7418
Phone: (660) 663-2423
Fax: (660) 663-2517
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2021003417 (MO)

Record details

NPI number1669171799
Entity typeIndividual (Type 1)
GenderFemale
Credentials FUNCTIONALMEDICINE
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024