Individual
BRENA KAY ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2641 MCCORMICK DR STE 101, CLEARWATER, FL 33759-1066
(727) 219-2475
Mailing address
2507 ALEXANDER PL APT 1303, CLEARWATER, FL 33763-1173
(701) 793-1507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9590242
FL
Other
Enumeration date
01/30/2024
Last updated
03/12/2024
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