| Doctor Name: | KATHERINE ROURKE |
| NPI Number: | 1629401658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9301945 |
| Business Practice Address: | 7720 Us Highway 98 W Suite 110 Miramar Beach, FL - 325507230 |
| Business Phone Number: | 8502671603 |
| Business Fax Number: | 8506223342 |
| Mailing Address: | Po Box 2699, Shmg/hpe PENSACOLA |
| State: | FL |
| Postal Code: | 325132699 |
| Phone Number: | 8502671603 |
| Fax Number: | 8506223342 |
| NPI Enumeration Date: | 08/13/2013 |
| NPI Last Update Date: | 12/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | ARNP9301945 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |