Provider Demographics
NPI:1023342102
Name:HARRINGTON, AMY LYNNE (PA-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNNE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNNE
Other - Last Name:WILLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:311 SOUTH CEDAR CREST BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:610-432-8551
Mailing Address - Fax:610-432-1384
Practice Address - Street 1:311 SOUTH CEDAR CREST BOULEVARD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:610-432-8551
Practice Address - Fax:610-432-1384
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0A002235363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant