Provider Demographics
NPI:1770220840
Name:ROTUNNO, JOSI RHEA (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:JOSI
Middle Name:RHEA
Last Name:ROTUNNO
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:JOSI
Other - Middle Name:RHEA
Other - Last Name:DENMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9720 S LUCE RD
Mailing Address - Street 2:
Mailing Address - City:PERRINTON
Mailing Address - State:MI
Mailing Address - Zip Code:48871-9666
Mailing Address - Country:US
Mailing Address - Phone:989-289-9453
Mailing Address - Fax:
Practice Address - Street 1:303 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:MI
Practice Address - Zip Code:48884-9215
Practice Address - Country:US
Practice Address - Phone:989-291-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704345172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine