Individual
WANETTA HARRIETTE HARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
105 ROXIE AVE, FAYETTEVILLE, NC 28304-2137
(910) 609-1880
(910) 609-1836
Mailing address
105 ROXIE AVE, FAYETTEVILLE, NC 28304-2137
(910) 609-1880
(910) 609-1836
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
06511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20520196
CDE CERTIFICATION
NC
Enumeration date
08/11/2011
Last updated
08/11/2011
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