Individual
MARIANNE ELIZABETH CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
224 HAMBURG TPKE, WAYNE, NJ 07470-2168
(973) 754-2476
Mailing address
224 HAMBURG TPKE, WAYNE, NJ 07470-2168
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00874200
NJ
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
26NJ00874200
NJ
Other
Enumeration date
12/03/2018
Last updated
04/04/2019
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