MEDICARE: PATRICIA O'ROURKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	RN09186	NV

General Provider Information

NPI Number	:	1982321162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA O'ROURKE

Provider Business Mailing Address
First Line	:	3558 AUCKLAND CASTLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2815
Country	:	US
Telephone Number	:	702-405-6147
Fax Number	:

Provider Business Practice Location Address
First Line	:	3558 AUCKLAND CASTLE ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-2815
Country	:	US
Telephone Number	:	702-405-6147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2022
Last Update Date	:	10/27/2022

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Directions to “ PATRICIA O'ROURKE ” Practice Location

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