Provider Demographics
NPI:1962956649
Name:HARRINGTON, KRISTIE M (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:M
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 MAIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3300
Mailing Address - Country:US
Mailing Address - Phone:413-736-1500
Mailing Address - Fax:413-736-1600
Practice Address - Street 1:2150 MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3566
Practice Address - Country:US
Practice Address - Phone:413-736-1500
Practice Address - Fax:413-736-1600
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2274356363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily