Provider Demographics
NPI:1447445366
Name:SWIECHOWICZ, ROSEMARIE OLIVE (APRN)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:OLIVE
Last Name:SWIECHOWICZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:OLIVE
Other - Last Name:GAGNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:157 BROZZINI CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5340
Mailing Address - Country:US
Mailing Address - Phone:864-616-0450
Mailing Address - Fax:
Practice Address - Street 1:157 BROZZINI CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5340
Practice Address - Country:US
Practice Address - Phone:864-616-0450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPRN23853363LA2200X
RINPP37236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health