Individual
ELLEN O'NEAL CAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Mailing address
189 GLOUCESTER DR, WINCHESTER, VA 22603-4328
(540) 664-2477
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187134
VA
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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