Individual
HEATHER E KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
711C E MAIN ST, PURCELLVILLE, VA 20132-3178
(540) 338-7116
(540) 338-6671
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169433
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912285628
—
VA
Enumeration date
07/29/2011
Last updated
04/23/2026
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