Healthcare Provider Details

I. General information

NPI: 1285098863
Provider Name (Legal Business Name): RACHEL HANNA HARRINGTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MASSACHUSETTS ST
LAWRENCE KS
66046-4827
US

IV. Provider business mailing address

2415 MASSACHUSETTS ST
LAWRENCE KS
66046-4827
US

V. Phone/Fax

Practice location:
  • Phone: 785-832-4840
  • Fax:
Mailing address:
  • Phone: 785-832-4840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-79920-121
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-129895-121
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: