Provider Demographics
NPI:1033243662
Name:HARRINGTON, NANCY LINN (NP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LINN
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 FINNEGAN RD
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-3194
Mailing Address - Country:US
Mailing Address - Phone:315-386-4731
Mailing Address - Fax:
Practice Address - Street 1:34 CORNELL DR
Practice Address - Street 2:DAVIS HEALTH CENTER
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1037
Practice Address - Country:US
Practice Address - Phone:315-386-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30-301014363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health