Individual
THERESA ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1205 LANGHRN NWTWN RD STE 403, LANGHORNE, PA 19047
(215) 710-4460
(215) 710-4465
Mailing address
41 UNIVERSITY DR STE 300, NEWTOWN, PA 18940-1873
(215) 710-7037
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP014124
PA
Other
Enumeration date
09/18/2014
Last updated
08/13/2018
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