Individual provider · Type 1 NPI

Ellen Cavanaugh, APRN

Gerontology Nurse Practitioner · Phoenix, AZ

NPI number 1205983608 Active

Practice location

3141 N 3rd Ave, AZ9501000
Phoenix, AZ 85013-4351

Mailing address

819 W Lodge Dr
Tempe, AZ 85283-3570

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN-044483 (AZ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1205983608

Ellen Cavanaugh, APRN's National Provider Identifier is 1205983608, issued on Jan 5, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.