Provider Demographics
NPI:1922284744
Name:HERRINGTON, RITA ANN (NP)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:ANN
Last Name:HERRINGTON
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 1:7879 E ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47468-9784
Mailing Address - Country:US
Mailing Address - Phone:812-327-3231
Mailing Address - Fax:
Practice Address - Street 1:7879 E ANDERSON RD
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47468
Practice Address - Country:US
Practice Address - Phone:812-327-3231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002577A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN232230AAAAMedicare UPIN