Provider Demographics
NPI:1336711340
Name:HARRINGTON-TAYLOR, ALISHA R (FNP)
Entity type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:R
Last Name:HARRINGTON-TAYLOR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:R
Other - Last Name:HARRINGTON-TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:1326 N WALLER AVE # 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-1151
Mailing Address - Country:US
Mailing Address - Phone:773-418-8810
Mailing Address - Fax:
Practice Address - Street 1:1326 N WALLER AVE # 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-1151
Practice Address - Country:US
Practice Address - Phone:773-418-8810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-11
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209030725363LF0000X
IN041439595163WG0000X
IL041439595163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice