Provider Demographics
NPI:1811001639
Name:MCAFEE, MARY CAVANAUGH (MS FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:CAVANAUGH
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:MS FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 ROBERTSON ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3900
Mailing Address - Country:US
Mailing Address - Phone:970-484-9533
Mailing Address - Fax:970-484-9544
Practice Address - Street 1:1006 ROBERTSON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3900
Practice Address - Country:US
Practice Address - Phone:970-484-9533
Practice Address - Fax:970-484-9544
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO126678363LF0000X
COAPN.0003244-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily