Provider Demographics
NPI:1538658240
Name:HARRINGTON, CHRISELDA (LVNLO)
Entity Type:Individual
Prefix:MRS
First Name:CHRISELDA
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LVNLO
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 625
Mailing Address - Street 2:
Mailing Address - City:LA PRYOR
Mailing Address - State:TX
Mailing Address - Zip Code:78872-0625
Mailing Address - Country:US
Mailing Address - Phone:830-591-6830
Mailing Address - Fax:
Practice Address - Street 1:7330 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6235
Practice Address - Country:US
Practice Address - Phone:210-733-0524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX191257164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse