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NPI Code Detail

MEDICARE: MRS. CAROL A. HARRINGTON ARNP

MEDICARE: MRS. CAROL A. HARRINGTON ARNP
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
1363LP2300XPrimary Care Nurse Practitioner75874KS
2363LP2300XPrimary Care Nurse Practitioner74692KS
3363LP2300XPrimary Care Nurse Practitioner105599MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1KA5102006OTHERKSMEDICARE
2MA8204008OTHERMOMEDICARE

General Provider Information

NPI Number : 1124018437
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROL A. HARRINGTON ARNP
Provider Business Mailing Address
First Line : PO BOX 616788
Second Line :
City : ORLANDO
State : FL
Zip : 32861-6788
Country : US
Telephone Number : 407-447-7120
Fax Number : 407-770-0661
Provider Business Practice Location Address
First Line : 19401 E 39TH ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-2308
Country : US
Telephone Number : 816-490-4277
Fax Number : 855-446-7160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 11/29/2021

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