Provider Demographics
NPI:1336414671
Name:HARRINGTON, NATHAN TIMOTHY (MD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:TIMOTHY
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NATHAN
Other - Middle Name:TIMOTHY
Other - Last Name:HARRINGTON-FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1254 S KIHEI RD UNIT 926
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-4039
Mailing Address - Country:US
Mailing Address - Phone:808-868-1977
Mailing Address - Fax:
Practice Address - Street 1:1254 S KIHEI RD UNIT 926
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-4039
Practice Address - Country:US
Practice Address - Phone:808-868-1977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-212772084P0800X
390200000X
WV270722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program