Individual
TANYA LAUREN CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1661 E FLAMINGO RD, LAS VEGAS, NV 89119-5291
(702) 734-0770
(702) 734-0837
Mailing address
1661 E FLAMINGO RD STE 5A, LAS VEGAS, NV 89119-5291
(702) 734-0770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
830392
NV
363LF0000X
Family Nurse Practitioner
Primary
830392
NV
Other
Enumeration date
05/07/2020
Last updated
11/13/2020
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