Healthcare Provider Details

I. General information

NPI: 1972022101
Provider Name (Legal Business Name): WHITNEY CAWVEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 US HIGHWAY 61 STE G1500
FESTUS MO
63028-4138
US

IV. Provider business mailing address

1417 MOOSE PASS
FESTUS MO
63028-2376
US

V. Phone/Fax

Practice location:
  • Phone: 636-933-1163
  • Fax:
Mailing address:
  • Phone: 636-208-0651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2017031672
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017031672
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: