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Amanda Cavanaugh
Neonatal Nurse Practitioner in Traverse City, Michigan
NPI 1588032775

Amanda Cavanaugh is a Neonatal Nurse Practitioner based in Traverse City, MI and is specialized in Neonatal. Amanda Cavanaugh practices in Traverse City, MI. The NPI Number for Amanda Cavanaugh is 1588032775 and holds a License No. 1-115133 (Michigan).

The current practice location address for Amanda Cavanaugh is 1105 Sixth St, Traverse City, MI and can be reached out via phone at 231-935-6250.

Location: 1105 Sixth St, Traverse City, MI, 49684-2345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588032775
Provider Name
Amanda Cavanaugh
Credential
Provider Entity Type
Individual
Gender
Female
Address
1105 Sixth St, Traverse City, MI, 49684-2345
Phone Number
231-935-6250
Fax Number
Provider Enumeration Date
09/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00102370 05 MS
institution
Provider Business Practice Location Address Details
Address
1105 Sixth St
City
Traverse City
State
Michigan
Zip
49684
Phone Number
231-935-6250
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Sixth St
City
Traverse City
State
Michigan
Zip
49684
Phone Number
231-935-6250
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Neonatal Intensive Care
Taxonomy
163WN0002X
License No.
904262 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
1-115133 (Alabama)
Definition
Definition to come...
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