Individual
MICHELE MARIE CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
3865 E LOHMAN AVE STE 4, LAS CRUCES, NM 88011-8292
(575) 259-3537
(575) 652-3431
Mailing address
3650 MORNING STAR DR UNIT 204, LAS CRUCES, NM 88011-1679
(575) 259-3537
(575) 652-3431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-81126
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
84069
NM
Other
Enumeration date
05/20/2025
Last updated
01/08/2026
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