| Doctor Name: | MRS. ROSELLE MARIE SWILLEY |
| NPI Number: | 1144620972 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C, AGACNP-BC ARNP |
| License Number: | 9173596 |
| Business Practice Address: | 225 Gulf Breeze Pkwy Gulf Breeze, FL - 325614465 |
| Business Phone Number: | 8502923342 |
| Business Fax Number: | |
| Mailing Address: | 1939 Salamanca St, NAVARRE |
| State: | FL |
| Postal Code: | 325669104 |
| Phone Number: | 8502923342 |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 09/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9173596 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |