Individual
ELIZABETH M CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 SPRING ST STE 410, MOUNT PLEASANT, WI 53405-1660
(262) 687-8260
Mailing address
1836 WHITE LAKE DR, ANTIOCH, IL 60002-6230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14284-33
WI
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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