Ardith Elaine O'Rourke, MSN, NP-C

Individual provider Active NPI Family Nurse Practitioner · Madisonville, KY

NPI 1124385257 · NPPES record last updated Apr 27, 2016

Key facts

NPI
1124385257
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
3007408 (KY)
Practice address
57 J.E. Ellis Road
Madisonville, KY 42431
Phone
(270) 249-6041
Fax
(270) 249-3204
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3007408KYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007408 KY Yes

Addresses

Primary practice location

57 J.E. Ellis Road
Madisonville, KY 42431

Mailing address

57 J.E.Ellis Road
Warrior Coal, LLC
Madisonville, KY 42431
Phone (270) 249-6041

Other providers in Madisonville, KY

All providers in Madisonville, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.