Individual
MICHELLE LYNN ROTTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
(843) 238-1461
Mailing address
1600 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
(843) 652-8226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002798A
IN
363LF0000X
Family Nurse Practitioner
209-001576
IL
363LF0000X
Family Nurse Practitioner
Primary
21514
SC
363LF0000X
Family Nurse Practitioner
ARNP 9371635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000796630
BCBS
IN
05
—
200976670
—
IN
01
—
YON25
BCBSFL
FL
Enumeration date
03/16/2007
Last updated
09/12/2025
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