Healthcare Provider Details

I. General information

NPI: 1801819388
Provider Name (Legal Business Name): PATRICIA HARRINGTON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA HARRINGTON-DELANEY CRNA

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 RUSSELL ST
AUGUSTA GA
30904-4115
US

IV. Provider business mailing address

877 SPARKLEBERRY RD
EVANS GA
30809-4429
US

V. Phone/Fax

Practice location:
  • Phone: 706-738-4925
  • Fax:
Mailing address:
  • Phone: 706-869-9316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN160655
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number350010-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: