Provider Demographics
NPI:1124018437
Name:HARRINGTON, CAROL A (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 616788
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32861-6788
Mailing Address - Country:US
Mailing Address - Phone:407-447-7120
Mailing Address - Fax:407-770-0661
Practice Address - Street 1:19401 E 39TH ST S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2308
Practice Address - Country:US
Practice Address - Phone:816-490-4277
Practice Address - Fax:855-446-7160
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS75874363LP2300X
KS74692363LP2300X
MO105599363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA5102006OtherMEDICARE
MOMA8204008OtherMEDICARE