Individual provider · Type 1 NPI

Mary Rourke, CNP

Family Nurse Practitioner · Beachwood, OH

NPI number 1679285613 Active

Practice location

23214 Ranch Rd
Beachwood, OH 44122-1565

Mailing address

PO Box 1086
Willoughby, OH 44096-1086

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN.363139 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1679285613

Mary Rourke, CNP's National Provider Identifier is 1679285613, issued on Dec 21, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Beachwood, OH. The record was last updated on Dec 21, 2022.