IndividualActive
Michael Cavanaugh, RN
NPI 1376559955 · Administrator Registered Nurse · Saint Paul, MN
Provider details
- NPI number
- 1376559955
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- R 144407-6 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
255 Smith Ave N Ste 100
Saint Paul, MN 55102-2518
Phone: (651) 292-0616
Approximate (ZIP-level) locationGet directions
Mailing address
5316 187th St W
Farmington, MN 55024-8952
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.