# MS. ELLYN ELIZABETH CAVANAGH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669707287
- **Gender:** F
- **Credential:** PHD, MN, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP30002468 | WA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 061473-23 | NH | — |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 11/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1016889 | — | VT |
| 05 | — | 2034048 | — | WA |
| 05 | — | 30347751 | — | NH |