MEDICARE: PATRICIA ANNE HARRINGTON RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	72140030	WI

General Provider Information

NPI Number	:	1013116250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANNE HARRINGTON RN

Provider Business Mailing Address
First Line	:	PO BOX 730
Second Line	:
City	:	HAYWARD
State	:	WI
Zip	:	54843-0730
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10610 MAIN ST
Second Line	:
City	:	HAYWARD
State	:	WI
Zip	:	54843-6595
Country	:	US
Telephone Number	:	715-634-4874
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

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