Individual provider · Type 1 NPI
Diana M. Kavanagh
Family Nurse Practitioner · New Haven, CT
NPI number
1144538489
Active
Practice location
345 Whitney Ave
New Haven, CT 06511-2348
Fax (203) 752-8785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4472 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1144538489
Diana M. Kavanagh's National Provider Identifier is 1144538489, issued on Sep 21, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Haven, CT. The record was last updated on Jul 9, 2014.