Organization · Type 2 NPI
Lake Cavanaugh Wellness
Family Nurse Practitioner · Mount Vernon, WA
NPI number
1083570030
Active
Practice location
35206 Phipps Dr
Mount Vernon, WA 98274-8223
Fax (360) 873-0306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
Other family nurse practitioner providers in Mount Vernon
About NPI 1083570030
Lake Cavanaugh Wellness's National Provider Identifier is 1083570030, issued on Jan 2, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Vernon, WA. The record was last updated on Jan 2, 2026.