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Individual

NICOLE L O'ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1919 E 52ND ST STE 200, INDIANAPOLIS, IN 46205-1381
(317) 429-0120
Mailing address
9365 COUNSELORS ROW STE 210, INDIANAPOLIS, IN 46240-6418
(317) 429-0120
(317) 800-7730

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
71002948A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002948A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201108760
IN
Enumeration date
06/25/2009
Last updated
04/15/2024
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