Individual
JOANNE M ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
113 HOLLAND AVENUE, MAIL CODE 111-D, STRATTON VA MEDICAL CENTER, ALBANY, NY 12208
(518) 626-6487
(518) 626-6606
Mailing address
8 MAHOGANY DRIVE, WATERVLIET, NY 12189
(518) 528-9887
(518) 626-6606
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300814-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02211530
—
NY
Enumeration date
10/04/2005
Last updated
07/21/2022
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