Rottner, Michelle Lynn
Rottner, Michelle Lynn is an individual health care provider with primary practice located at 1600 Highway 17 N , Surfside Beach SC 29575-6015. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rottner, Michelle Lynn can be contacted via phone (843) 238-1461.Contact Information
Primary practice address
1600 Highway 17 N
Surfside Beach SC 29575-6015
Phone: (843) 238-1461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002798A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 9371635 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209-001576 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21514 | South Carolina |
Profile Details
| NPI number | 1033243209 |
|---|---|
| LBN Legal business name | Rottner, Michelle Lynn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033243209 | NPPES |
| Indiana | MEDICAID | 200976670 | |
| Indiana | Other | 000000796630 | |
| Indiana | Other | YON25 |
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