Doctor Name: | CASSANDRA A CAVANAUGH |
NPI Number: | 1063581346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 0522802303 |
Business Practice Address: | 75 Gilcreast Road Unit 100 Londonderry, NH - 03053 |
Business Phone Number: | 6034323178 |
Business Fax Number: | 6034347468 |
Mailing Address: | 401 Andover Street, Suite 101 NORTH ANDOVER |
State: | MA |
Postal Code: | 01845 |
Phone Number: | 9786915690 |
Fax Number: | 9786915693 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 06/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0522802303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |