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Amy Cavanaugh, NP
Family Nurse Practitioner in Plymouth, Wisconsin
NPI 1477337061

Amy Cavanaugh is a Family Nurse Practitioner based in Plymouth, WI and is specialized in Family. Amy Cavanaugh practices in Plymouth, WI and has the professional credentials of NP. The NPI Number for Amy Cavanaugh is 1477337061 and holds a License No. 14309-33 (Wisconsin).

The current practice location address for Amy Cavanaugh is 825 Walton Dr, Plymouth, WI and can be reached out via phone at 920-892-4322.

Location: 825 Walton Dr, Plymouth, WI, 53073-5022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477337061
Provider Name
Amy Cavanaugh
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
825 Walton Dr, Plymouth, WI, 53073-5022
Phone Number
920-892-4322
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100252605 05 WI
institution
Provider Business Practice Location Address Details
Address
825 Walton Dr
City
Plymouth
State
Wisconsin
Zip
53073-5022
Phone Number
920-892-4322
Fax Number
person
Provider Business Mailing Address Details
Address
825 Walton Dr
City
Plymouth
State
Wisconsin
Zip
53073-5022
Phone Number
920-892-4322
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
14309-33 (Wisconsin)
Definition
Definition to come...
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