Individual
DANA MICHELLE CAVINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
PO BOX 699, PARK HILL, OK 74451-0699
(918) 774-8220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0089787
OK
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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