MS. NANCY ALEXANDRIA CAVANAUGH PNP NPI 1255531638

NPI Information

NPI: 1255531638
Provider Name: MS. NANCY ALEXANDRIA CAVANAUGH, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3617 S PACIFIC HWY
MEDFORD, OR
ZIP 97501
Phone: (541) 535-6239
Get Directions

MS. Nancy Alexandria Cavanaugh, PNP is a pediatrics nurse practitioner in Medford, OR. MS. Nancy Alexandria Cavanaugh, PNP NPI is 1255531638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3617 S PACIFIC HWY
MEDFORD, OR
ZIP 97501-957
Phone: (541) 535-6239
Fax: (541) 512-1026

The enumeration date for this NPI number is 7/23/2007 and was last updated on 3/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	201142758RN	OREGON	No
2	163WP0200X	Registered Nurse	Pediatrics	201250005NP	OREGON	No
3	363LP0200X	Nurse Practitioner	Pediatrics	220	ALASKA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	201250005NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R173833	OTHER	OREGON	MEDICARE PTAN
2	500648116	MEDICAID	OREGON
3	NP13731	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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