Individual
KATHERINE LEE ROURKE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7720 US HIGHWAY 98 W, SUITE 110, MIRAMAR BEACH, FL 32550-7230
(850) 267-1603
(850) 622-3342
Mailing address
PO BOX 2699, SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 267-1603
(850) 622-3342
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9301945
FL
Other
Enumeration date
08/13/2013
Last updated
07/19/2016
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