Provider Demographics
NPI:1912184953
Name:HARRINGTON, NANCY GRACE (NP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:GRACE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:OWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13827-1311
Mailing Address - Country:US
Mailing Address - Phone:607-687-5333
Mailing Address - Fax:607-687-4899
Practice Address - Street 1:110 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-1311
Practice Address - Country:US
Practice Address - Phone:607-687-5333
Practice Address - Fax:607-687-4899
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY420872363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health