Healthcare Provider Details
I. General information
NPI: 1316996770
Provider Name (Legal Business Name): CONNIE HUDSON HARRINGTON FNP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/10/2006
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3207 N ACADEMY BLVD SUITE 3100
COLORADO SPRINGS CO
80917-5100
US
IV. Provider business mailing address
3205 N ACADEMY BLVD SUITE 130
COLORADO SPRINGS CO
80917-5101
US
V. Phone/Fax
- Phone: 719-632-5700
- Fax:
- Phone: 719-632-5700
- Fax: 719-344-7837
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | RN188951 APN5923 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APN.0005923-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: