Individual
MS. NANCY ALEXANDRIA CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-1026
Mailing address
859 WHITE OAK AVE, CENTRAL POINT, OR 97502-3608
(541) 423-5332
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us