Individual
SUSAN JACQUELYN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
102 MASON FARM RD, CHAPEL HILL, NC 27599-6134
(919) 974-4175
(984) 974-6741
Mailing address
102 MASON FARM RD, CHAPEL HILL, NC 27599-6134
(984) 974-4175
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020484
NC
363LA2200X
Adult Health Nurse Practitioner
CAVA-K7UWK
NC
Other
Enumeration date
07/18/2024
Last updated
11/01/2024
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