Individual
MARY RITA O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP, APRN
Contact information
Practice address
130 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 233-1534
Mailing address
408 MCDANIEL AVE, GREENVILLE, SC 29601-4338
(864) 233-6339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 940
SC
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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