Lera-Jo Ann Cavanaugh
Nurse Practitioner - Neonatal (Critical Care)
620 Byron Rd
Howell
, Michigan 48843-1002
Lera-Jo Ann Cavanaugh
Nurse Practitioner - Neonatal (Critical Care)
620 Byron Rd
Howell
, Michigan 48843-1002
(810) 220-3644
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Lera-Jo Ann Cavanaugh
- 6498 Barrie Cir
- Brighton, MI
- Zip : 48114-7430
- Phone : (810) 220-3644
Second Address
- Lera-Jo Ann Cavanaugh
- 620 Byron Rd
- Howell, MI
- Zip : 48843-1002
- Phone : (517) 545-6593
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 4704117443 | MI |
National Provider Identifier
| NPI | 1235211681 |
|---|---|
| Provider Name | Lera-Jo Ann Cavanaugh |
| First Address | Brighton, MI 48114-7430 |
| Second Address | Howell, MI 48843-1002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.