Provider Demographics
NPI:1093407090
Name:HARRINGTON, RANETTE WIMBISH (CRNP-PMH)
Entity Type:Individual
Prefix:MS
First Name:RANETTE
Middle Name:WIMBISH
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:MS
Other - First Name:RANETTE
Other - Middle Name:LESA
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8662 SAXON CIR
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2522
Mailing Address - Country:US
Mailing Address - Phone:443-520-8597
Mailing Address - Fax:
Practice Address - Street 1:8662 SAXON CIR
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-2522
Practice Address - Country:US
Practice Address - Phone:443-520-8597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR174950163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty