Provider Demographics
NPI:1629770458
Name:HARRINGTON, KATHRYN RATCLIFF (CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:RATCLIFF
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:MARIE
Other - Last Name:RATCLIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1607 WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-8667
Mailing Address - Country:US
Mailing Address - Phone:936-229-1695
Mailing Address - Fax:
Practice Address - Street 1:1607 WINFIELD RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-8667
Practice Address - Country:US
Practice Address - Phone:936-229-1695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1113106367A00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health