Healthcare Provider Details

I. General information

NPI: 1003373051
Provider Name (Legal Business Name): IRIS HARRINGTON GEHRING CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 08/07/2025
Certification Date: 01/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 N. SALISBURY BLVD
SALISBURY MD
21801
US

IV. Provider business mailing address

2425 N. SALISBURY BLVD
SALISBURY MD
21801
US

V. Phone/Fax

Practice location:
  • Phone: 410-334-6351
  • Fax: 443-210-2557
Mailing address:
  • Phone: 443-978-7317
  • Fax: 443-736-4080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR114662
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: