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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. You can also correspond with Amanda Cavanaugh through the mailing address at 1105 SIXTH ST, TRAVERSE CITY, MI - 49684-2345 (mailing address contact number: 231-935-5000).

Location: 1105 Sixth St, Traverse City, MI, 49684-2345
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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
State
Zip
49684
Phone Number
231-935-6250
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Sixth St
City
State
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
License No.
904262 (Mississippi)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
1-115133 (Alabama)
Definition
Definition to come...
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