Provider Demographics
NPI:1962445627
Name:HARRINGTON, CATHERINE (NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 FORT CHISWELL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MAX MEADOWS
Mailing Address - State:VA
Mailing Address - Zip Code:24360-4139
Mailing Address - Country:US
Mailing Address - Phone:276-637-6641
Mailing Address - Fax:276-637-6741
Practice Address - Street 1:791 FORT CHISWELL RD
Practice Address - Street 2:SUITE A
Practice Address - City:MAX MEADOWS
Practice Address - State:VA
Practice Address - Zip Code:24360-4139
Practice Address - Country:US
Practice Address - Phone:276-637-6641
Practice Address - Fax:276-637-6741
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017000629363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VV8114AOtherMEDICARE PTAN
VA010189519Medicaid
VA010189519Medicaid
VV8114AOtherMEDICARE PTAN