Doctor Name: | MRS. ARDITH ELAINE O'ROURKE |
NPI Number: | 1124385257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, NP-C |
License Number: | 3007408 |
Business Practice Address: | 57 J.e. Ellis Road Madisonville, KY - 42431 |
Business Phone Number: | 2702496041 |
Business Fax Number: | 2702493204 |
Mailing Address: | 57 J.e.ellis Road, Warrior Coal, Llc MADISONVILLE |
State: | KY |
Postal Code: | 42431 |
Phone Number: | 2702496041 |
Fax Number: | 2702493204 |
NPI Enumeration Date: | 04/13/2012 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3007408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |