Cavanah, Sue Ann

Cavanah, Sue Ann is an individual health care provider with primary practice located at 970 Cindy Dr , Paducah KY 42003-9303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cavanah, Sue Ann can be contacted via phone (410) 382-7647.

Contact Information

Primary practice address
970 Cindy Dr Paducah KY 42003-9303
Phone: (410) 382-7647
Fax: (410) 382-7647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004241 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP129880 Texas

Profile Details

NPI number 1033324439
LBN Legal business name Cavanah, Sue Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Apr 13th, 2016 - about 10 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 1033324439 NPPES
Kentucky MEDICAID 7100207240

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