Individual provider · Type 1 NPI

Brent T. Rourke

Student in an Organized Health Care Education/Training Program · Lowell, MA

NPI number 1437636974 Active

Practice location

391 Varnum Ave
Lowell, MA 01854-2119

Fax (978) 322-5077

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437636974

Brent T. Rourke's National Provider Identifier is 1437636974, issued on Jul 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lowell, MA. The record was last updated on Jul 27, 2018.