Provider Demographics
NPI:1194298299
Name:HARRINGTON, SHEILA RENEE (APRN)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:RENEE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:NEAL
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:101 E WOOD ST STE 401
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-6654
Practice Address - Fax:864-560-7353
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSCE556J577OtherMEDICARE PIN
SCSCE5566067OtherMEDICARE PIN
SCNP5715Medicaid
SCSCE5566084OtherMEDICARE PIN