Kavanagh, Heather E

Kavanagh, Heather E is an individual health care provider with primary practice located at 711C E Main St , Purcellville VA 20132-3178. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kavanagh, Heather E can be contacted via phone (540) 338-7116.

Contact Information

Primary practice address
711C E Main St Purcellville VA 20132-3178
Phone: (540) 338-7116
Fax: (540) 338-6671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169433 Virginia

Profile Details

NPI number 1912285628
LBN Legal business name Kavanagh, Heather E
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2011
Last updated May 4th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912285628 NPPES
Virginia MEDICAID 1912285628

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