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
Fax: (518) 626-6606
Website:

Health care specialties

SpecialtyCodeLicense #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 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 1578550661 NPPES
New York MEDICAID 02211530

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