O'Rourke, Nicole L

O'Rourke, Nicole L is an individual health care provider with primary practice located at 1919 E 52Nd St Ste 200 , Indianapolis IN 46205-1381. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. O'Rourke, Nicole L can be contacted via phone (317) 429-0120.

Contact Information

Primary practice address
1919 E 52Nd St Ste 200 Indianapolis IN 46205-1381
Phone: (317) 429-0120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 71002948A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002948A Indiana

Profile Details

NPI number 1336377670
LBN Legal business name O'Rourke, Nicole L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Apr 15th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336377670 NPPES
Indiana MEDICAID 201108760

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