Cavanaugh, Amanda
Cavanaugh, Amanda is an individual health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Cavanaugh, Amanda can be contacted via phone (231) 935-6250.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | 1-115133 | Alabama |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 904262 | Mississippi |
Profile Details
NPI number | 1588032775 |
---|---|
LBN Legal business name | Cavanaugh, Amanda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 4th, 2015 |
Last updated | Oct 31st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588032775 | NPPES |
Mississippi | MEDICAID | 00102370 |
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