| Doctor Name: | BEVERLY JS O'ROURKE |
| NPI Number: | 1003990409 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | UP006104B |
| Business Practice Address: | 24 Doctors Ln Suite 304 Clarion, PA - 162148568 |
| Business Phone Number: | 8142268800 |
| Business Fax Number: | 8142264280 |
| Mailing Address: | 121 Doctors Ln, CLARION |
| State: | PA |
| Postal Code: | 162148515 |
| Phone Number: | 8142263470 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 03/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | UP006104B |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |