Katrina Ann Cavanaugh, APRN-CNP, RN | |
188 Birch Ave, Ponderay, ID 83852-7007 | |
(208) 597-2508 | |
Not Available |
Full Name | Katrina Ann Cavanaugh |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 188 Birch Ave, Ponderay, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356162226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2861171 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Katrina Ann Cavanaugh, APRN-CNP, RN 188 Birch Ave, Ponderay, ID 83852-7007 Ph: (208) 597-2508 | Katrina Ann Cavanaugh, APRN-CNP, RN 188 Birch Ave, Ponderay, ID 83852-7007 Ph: (208) 597-2508 |
Justin Henderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30544 Id-200, #101, Ponderay, ID 83852 Phone: 208-263-6300 | |
Kathy Gavin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-1345 Fax: 208-255-5531 | |
Graham Charles Andrews, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Schweitzer Plaza Dr Ste 1, Ponderay, ID 83852 Phone: 208-263-0649 |