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Individual
MELISSA RAYBURN ROTELLA
Active
Individual
MELISSA RAYBURN ROTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
RN154553NP
GA
363L00000X
Nurse Practitioner
RN154553NP
GA
363LF0000X
Family Nurse Practitioner
Primary
RN154553NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN154553
STATE LICENSE
—
Enumeration date
11/07/2007
Last updated
10/27/2025
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