MEDICARE: MRS. CLARISSA LOUISE 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	163W00000X	Registered Nurse	RN714427	PA
2	363L00000X	Nurse Practitioner	SP028815	PA

General Provider Information

NPI Number	:	1033818869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLARISSA LOUISE HARRINGTON RN

Provider Business Mailing Address
First Line	:	23 N DELSEA DR UNIT B
Second Line	:
City	:	CLAYTON
State	:	NJ
Zip	:	08312-1637
Country	:	US
Telephone Number	:	856-423-7700
Fax Number	:	856-423-0823

Provider Business Practice Location Address
First Line	:	1426 DICKINSON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-4842
Country	:	US
Telephone Number	:	269-271-8914
Fax Number	:

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

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	07/10/2025

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