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NPI Code Detail

MEDICARE: MRS. CALEEN MICHELE CAVITT APRN

MEDICARE:  MRS. CALEEN MICHELE CAVITT  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP138626TX

General Provider Information

NPI Number : 1518435866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CALEEN MICHELE CAVITT APRN
Provider Business Mailing Address
First Line : 14733 CEDAR FLAT WAY
Second Line :
City : ROANOKE
State : TX
Zip : 76262-1959
Country : US
Telephone Number : 972-821-6337
Fax Number :
Provider Business Practice Location Address
First Line : 2200 VILLAGE PKWY
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-3327
Country : US
Telephone Number : 972-317-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2018
Last Update Date : 01/03/2024

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Directions to “ MRS. CALEEN MICHELE CAVITT APRN” Practice Location

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