Provider Demographics
NPI:1730876590
Name:HARRINGTON, MATTHEW JAMES (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:JAMES
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15028 W COOLIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-7712
Mailing Address - Country:US
Mailing Address - Phone:623-888-0959
Mailing Address - Fax:
Practice Address - Street 1:15028 W COOLIDGE ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-7712
Practice Address - Country:US
Practice Address - Phone:623-888-0959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704399910NSA2303P363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care