Provider Demographics
NPI:1750837274
Name:HARRINGTON, SHAUNA LATRICE
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LATRICE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 GREENVIEW PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-5301
Mailing Address - Country:US
Mailing Address - Phone:513-504-9165
Mailing Address - Fax:
Practice Address - Street 1:1731 GREENVIEW PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-5301
Practice Address - Country:US
Practice Address - Phone:513-504-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4009332806093747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant