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

Primary practice address
1105 Sixth St Traverse City MI 49684
Phone: (231) 935-6250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588032775 NPPES
Mississippi MEDICAID 00102370

Popular Providers