Healthcare Provider Details

I. General information

NPI: 1649241308
Provider Name (Legal Business Name): FRANCES AGPAOA HARRINGTON APN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 SIENA HEIGHTS DR
HENDERSON NV
89052
US

IV. Provider business mailing address

PO BOX 15645
LAS VEGAS NV
89114-5645
US

V. Phone/Fax

Practice location:
  • Phone: 702-617-1227
  • Fax: 702-492-1584
Mailing address:
  • Phone: 702-242-7308
  • Fax: 702-240-8790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberAPN00295
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: