Healthcare Provider Details

I. General information

NPI: 1306852413
Provider Name (Legal Business Name): CANDACE CURRIE HARRINGTON DNP. ANP/GNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 12/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HEART DR
GREENVILLE NC
27834-8982
US

IV. Provider business mailing address

101 HEART DR
GREENVILLE NC
27834-8982
US

V. Phone/Fax

Practice location:
  • Phone: 252-744-4611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0050-01545
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0050-01545
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: