MICHELLE LYNN ROTTNER


Address: 11916 Highway 707 Ste D, Murrells Inlet, SC 29576
Phone: 8436528450

MICHELLE LYNN ROTTNER (NPI# 1033243209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033243209
Entity Type Individual
Full Name MICHELLE LYNN ROTTNER
Other Name MICHELLE LYNN ROARK
Credential FNP
Practice Address 11916 Highway 707 Ste D
Murrells Inlet
SC 29576
Mailing Address Po Box 1209
Murrells Inlet
SC 29576-1209
Practice Telephone 8436528450
Practice Fax Number 8436528451
Mailing Telephone 8436528220
Mailing Fax Number 8436520127
Enumeration Date 2007-03-16
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 71002798A IN Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
21514 SC Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 9371635 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
209-001576 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200976670 05
FL BCBSFL YON25 01
IN BCBS 000000796630 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2569 Gulf Breeze Pkwy, Gulf Breeze, FL 325633043 8509340932 8509340737

Office Location

Street Address 11916 HIGHWAY 707 STE D
City MURRELLS INLET
State SC
Zip Code 29576

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750344818 Lori A Hess Family Medicine 11916 Highway 707 Ste D, Murrells Inlet, SC 29576-9610 2006-04-10
1720597743 Georgetown Physician Associates, LLC Family Medicine 11916 Highway 707 Ste D, Murrells Inlet, SC 29576-9610 2017-09-21
1033417522 Lisa Centilli Family Medicine 11916 Highway 707 Ste D, Murrells Inlet, SC 29576 2011-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619577665 Mobilityworks, LLC Durable Medical Equipment & Medical Supplies 11816 Frontage Rd., Murrells Inlet, SC 29576 2020-10-29
1457986267 Seaside Eye Associates South LLC Optometrist 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 2020-03-12
1710443833 Sirach Health Professional Limited Liability Company Physical Medicine & Rehabilitation 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 2019-02-13
1801350871 Doctors Care, P.a. Emergency Medicine 12015 Highway 707, Murrells Inlet, SC 29576 2019-01-24
1568949154 Melanie Lewis Physical Therapist 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 2018-07-26
1528550035 Lauren Munck Family Medicine Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 2018-05-31
1003312521 Myrtle Beach Rehabilitation Hospital, LLC Rehabilitation Hospital 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 2018-04-03
1467952218 Jamaica E Alston Student in an Organized Health Care Education/Training Program 14 Ambassador Lane, Murrells Inlet, SC 29576 2018-02-19
1891209227 Caleb Sims Whitney Physical Medicine & Rehabilitation 10800 Sc 707, Murrells Inlet, SC 29576 2017-11-21
1043720964 Chartwell Durable Medical Supply, LLC Durable Medical Equipment & Medical Supplies 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 2017-10-05
Find all providers in zip 29576

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407352149 Roxanne N Altman Nurse Practitioner 407 Vereen Rd, Murrells Inlet, SC 29576-7710 2018-04-02
1043729106 Danielle Karin Brown Nurse Practitioner 496 Hammock Ave, Murrells Inlet, SC 29576-6119 2017-09-21
1699217653 Naomi Jean Ferguson Nurse Practitioner 912 Inlet Square Dr Ste A, Murrells Inlet, SC 29576-7812 2016-11-08
1306127022 Audrey Cheryl Massie Nurse Practitioner 637 Bellamy Ave Unit C, Murrells Inlet, SC 29576-6472 2011-09-08
1043460215 Angela Carter Sheridan Nurse Practitioner 4111 Murrells Inlet Rd, Murrells Inlet, SC 29576-6208 2008-09-24
1023280583 Angela Pace Stiles Nurse Practitioner 2115 S Highway 17, Unit B, Murrells Inlet, SC 29576-7607 2008-03-25
1154508166 Kerri Jo Mccoy Nurse Practitioner 3710 Highway 17, Murrells Inlet, SC 29576-5005 2008-01-22
1831719384 Jillian Williams Nurse Practitioner 3710 Highway 17, Murrells Inlet, SC 29576-5005 2020-04-24
1063047454 Margaret F Parker Nurse Practitioner 11871 Plaza Dr, Murrells Inlet, SC 29576-7450 2020-03-06
1629600192 Adrienne Cohen Nurse Practitioner 637 Bellamy Ave Unit C, Murrells Inlet, SC 29576-6472 2020-02-12
Find all providers in MURRELLS INLET

Competitor

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City MURRELLS INLET
Zip Code 29576

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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