Pat Kavanaugh in Santa Rosa - Nurse Practitioner

Pat Kavanaugh - NPI 1598984379

Pat Kavanaugh is a Nurse Practitioner in Santa Rosa, California. Pat Kavanaugh practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Pat Kavanaugh is 1598984379. The last update date is 2014-07-15.

Pat Kavanaugh's current location address is 3420 Chanate Rd, Santa Rosa, California. You can contact this provider via phone number 7075654822. The mailing address for Pat Kavanaugh is 3420 Chanate Rd, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Pat Kavanaugh
Address 3420 Chanate Rd, Santa Rosa, California
Phone Number 7075654822
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1598984379
Provider Enumeration Date 2007-04-24
Last Updated Date 2014-07-15

Provider Mailing Address Detail

Address 3420 Chanate Rd
City Santa Rosa
State California (CA)
Post Code 954041710
Phone Number 7075654822
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No V097457
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Pat Kavanaugh

What is the unique identifier code issued to Pat Kavanaugh by the Centers for Medicare & Medicaid Services?

The Pat Kavanaugh has been assigned the NPI (National Provider Identifier) 1598984379. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Pat Kavanaugh?

The Pat Kavanaugh is situated at 3420 Chanate Rd, in the city of Santa Rosa, state of CA, with the zip code 954041710.

What is the Pat Kavanaugh's specialty and taxonomy code?

The Pat Kavanaugh's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1598984379 to Pat Kavanaugh?

The Pat Kavanaugh received its 1598984379 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.

As of what date was the information pertaining to Pat Kavanaugh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pat Kavanaugh, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-15.

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