Provider Demographics
NPI:1891423281
Name:CAVANAUGH, BRITTANY TERESE (CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:TERESE
Last Name:CAVANAUGH
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:TERESE
Other - Last Name:CAVANAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 ORCHID DRIVE
Mailing Address - Street 2:HIDDEN VILLAGE
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507
Mailing Address - Country:US
Mailing Address - Phone:570-335-6118
Mailing Address - Fax:
Practice Address - Street 1:5 MORGAN HWY STE 8
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-2641
Practice Address - Country:US
Practice Address - Phone:570-207-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN707599163WN0002X
PASP026032363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care