Individual
BRANDI L ROTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
879 USERY RD, CHIPLEY, FL 32428-9303
(850) 638-4654
(850) 638-0918
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9282947
FL
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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