MEDICARE: MARIA JEAN HARRINGTON FNTP

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1487379319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA JEAN HARRINGTON FNTP

Provider Business Mailing Address
First Line	:	201 S PALM AVE UNIT 403
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-6907
Country	:	US
Telephone Number	:	808-321-6694
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 S PALM AVE UNIT 403
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-6907
Country	:	US
Telephone Number	:	808-321-6694
Fax Number	:

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

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

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