Provider Demographics
NPI:1619600111
Name:HARRINGTON, RYAN ANDREW (RDN)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ANDREW
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 HEMLOCK LN APT 621
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5374
Mailing Address - Country:US
Mailing Address - Phone:213-212-1079
Mailing Address - Fax:
Practice Address - Street 1:3310 HEMLOCK LN APT 621
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5374
Practice Address - Country:US
Practice Address - Phone:213-212-1079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-03
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86294552133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered