Provider Demographics
NPI:1851947121
Name:HARRINGTON, ROXANNE T (LPN-PN308220)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:T
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LPN-PN308220
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-6031
Mailing Address - Country:US
Mailing Address - Phone:484-523-6270
Mailing Address - Fax:
Practice Address - Street 1:2505 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-6031
Practice Address - Country:US
Practice Address - Phone:484-523-6270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN308220164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPN308220OtherLPN