Healthcare Provider Details

I. General information

NPI: 1962445627
Provider Name (Legal Business Name): CATHERINE HARRINGTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 01/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 FORT CHISWELL RD SUITE A
MAX MEADOWS VA
24360-4139
US

IV. Provider business mailing address

791 FORT CHISWELL RD SUITE A
MAX MEADOWS VA
24360-4139
US

V. Phone/Fax

Practice location:
  • Phone: 276-637-6641
  • Fax: 276-637-6741
Mailing address:
  • Phone: 276-637-6641
  • Fax: 276-637-6741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0017000629
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: