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Individual

MS. NANCY ALEXANDRIA CAVANAUGH

Active
Find providers by NPI
Individual

MS. NANCY ALEXANDRIA CAVANAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
201142758RN
OR
163WP0200X
Pediatric Registered Nurse
201250005NP
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
201250005NP
OR
363LP0200X
Pediatric Nurse Practitioner
220
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648116
—
OR
05
—
NP13731
—
AK
01
—
R173833
MEDICARE PTAN
OR
Enumeration date
07/23/2007
Last updated
03/14/2014
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