Provider Demographics
NPI:1235648171
Name:HARRINGTON, ASHLEY RAE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:FNP-C
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 689
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93102-0689
Mailing Address - Country:US
Mailing Address - Phone:056-827-1118
Mailing Address - Fax:
Practice Address - Street 1:3540 E BASELINE RD STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-9629
Practice Address - Country:US
Practice Address - Phone:623-251-7559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016442363LF0000X
AZTAP10604363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ325476Medicaid
CA95016442OtherNURSE PRACTITIONER
AZZ208603OtherMEDICARE