Rourke, Joanne M
Rourke, Joanne M is an individual health care provider with primary practice located at 113 Holland Avenue, Mail Code 111-D Stratton Va Medical Center, Albany NY 12208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rourke, Joanne M can be contacted via phone (518) 626-6487.Contact Information
Primary practice address
113 Holland Avenue, Mail Code 111-D Stratton Va Medical Center
Albany NY 12208
Phone: (518) 626-6487
Fax: (518) 626-6606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F300814-1 | New York |
Profile Details
| NPI number | 1578550661 |
|---|---|
| LBN Legal business name | Rourke, Joanne M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1578550661 | NPPES |
| New York | MEDICAID | 02211530 |
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